Objective: This study was conducted to find the boundary vein indicating the intersegmental plane between the caudate lobe and the adjacent liver segments.
Summary Background Data: Major hepatic veins of the human liver commonly run through the intersegmental plane and are widely used for the landmarks to define the boundary of both sides of liver segments. As the caudate lobe is a small independent unit of the liver separate from the right and left livers, the existence of the boundary hepatic vein to the adjacent liver segments has been expected.
Methods: Fifty-four adult cadaveric livers were minutely dissected to elucidate the correlation between the portal vein branches and the hepatic veins on both the caudate lobe and the adjacent liver segments.
Results: Among the hepatic veins of the caudate lobe, the caudate processus hepatic vein entering the inferior vena cava at hepatic hilum runs in the segmental plane between the caudate processus and the right liver. Three types of the caudate processus hepatic vein directly entering the inferior vena cava and 1 type of the exceptional hepatic vein that was the tributary of the right hepatic vein were observed. They drained the blood of the caudate processus and a part of the right liver, respectively.
Conclusions: The caudate processus hepatic vein is one of the candidates of the hepatic vein indicating the boundary between the caudate lobe and the adjacent liver segments. New procedures will be developed on the liver surgeries by acquiring the anatomic features of this vein.
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http://dx.doi.org/10.1097/SLA.0b013e31815efd8d | DOI Listing |
Int J Surg
January 2025
Division of Hepatobiliary and Transplantation Surgery, Department of General Surgery, Nanjing Drum Tower Hospital, The Affiliated Hospital of Nanjing University Medical School, Nanjing, China.
Introduction: Laennec's capsule serves as a critical anatomical landmark in anatomical liver resection. Despite its potential, a lack of large-scale prospective studies limits the widespread use of the Laennec approach for minimally invasive hepatectomy. This multicenter cohort study aimed to compare the outcomes of the traditional and Laennec approaches in minimally invasive anatomical hepatectomy across multiple centers in China.
View Article and Find Full Text PDFBMJ Case Rep
January 2025
Upper Gastrointestinal Surgery Unit, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
The Arc of Bühler (AoB) is a rare anatomical variant in gastrointestinal vasculature where there is an aberrant anastomotic vessel between coeliac and superior mesenteric arteries. We present a rare case where AoB was noted intraoperatively to have haemodynamically significant flow in the context of coeliac artery stenosis, supplementing arterial supply to the hepatic artery proper via the gastroduodenal artery (GDA). An interpositional jump graft between the aorta and the GDA stump was created using the long saphenous vein, and flow was restored.
View Article and Find Full Text PDFBMC Med Inform Decis Mak
January 2025
Department of Vascular and Wound Center, Jinshan Hospital, Fudan University, Shanghai, 201508, China.
Background: To construct a nomogram combining CT varices vein evaluation and clinical laboratory tests for predicting the risk of esophageal gastric variceal bleeding (EGVB) in patients with noncirrhotic portal hypertension (NCPH).
Methods: A total of 315 NCPH patients with non-EGVB and EGVB were retrospectively enrolled and randomly divided into training and testing cohorts. Thirteen collateral vessels were identified and evaluated after CT portal vein system reconstruction.
Medicina (Kaunas)
November 2024
Imperial College London and Healthcare NHS Trust, London SW 2AZ, UK.
Vascular liver diseases (VLDs) include different pathological conditions that affect the liver vasculature at the level of the portal venous system, hepatic artery, or venous outflow system. Although serological investigations and sometimes histology might be required to clarify the underlying diagnosis, imaging has a crucial role in highlighting liver inflow or outflow obstructions and their potential causes. Cross-sectional imaging provides a panoramic view of liver vascular anatomy and parenchymal patterns of enhancement, making it extremely useful for the diagnosis and follow-up of VLDs.
View Article and Find Full Text PDFHepatobiliary Pancreat Dis Int
December 2024
Department of Hepatobiliary and Pancreas Surgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610072, China. Electronic address:
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