Kogure K, Ishizaki M, Nemoto M, Kuwano H, Makuuchi M
First Department of Surgery, Gunma University School of Medicine, 3-39-15 Showamachi Maebashi 371-8511, Japan.
J Hepatobiliary Pancreat Surg. 1999;6(2):171-5. doi: 10.1007/s005340050101.
To compare the fundamental structure of the human liver, in relation to that of the rat a comparative study was performed, in which 20 rat livers and 78 human cadaver livers were examined. The rat livers had four lobes (left, middle, right, and caudate). The left and middle lobes formed a single lobe but the middle lobe had a deep notch to which the round ligament attached. The right lobe was split into two sub-lobes and the caudate lobe was divided into the paracaval portion and the Spiegel lobe, which was split into two sub-lobes. The left, right, and caudate lobes had one primary portal branch, whereas the middle lobe had two portal branches. The left and the right sub- and caudate lobes had one large hepatic vein each, whereas three large hepatic veins were observed in the middle lobe. Based on the ramifying patterns of the portal and hepatic veins, the rat middle lobe possessed left and right hepatic components and a main portal fissure. The following rat hepatic lobes were equivalent to the following human liver segments: the left lobe to segment II; the middle lobe to segments III, IV, V, and VIII; and the right lobe to segments VI and VII. The fundamental structures of rat and human livers were similar, and the findings demonstrated a new interpretation of the anatomy of the human liver.
为了比较人类肝脏与大鼠肝脏的基本结构,进行了一项对比研究,其中检查了20个大鼠肝脏和78个人类尸体肝脏。大鼠肝脏有四个叶(左叶、中叶、右叶和尾状叶)。左叶和中叶形成一个单叶,但中叶有一个深切口,圆韧带附着于此。右叶被分为两个亚叶,尾状叶被分为腔静脉旁部分和斯皮格尔叶,斯皮格尔叶又被分为两个亚叶。左叶、右叶和尾状叶各有一个主要门静脉分支,而中叶有两个门静脉分支。左叶、右叶和尾状叶的亚叶各有一条大肝静脉,而中叶观察到三条大肝静脉。根据门静脉和肝静脉的分支模式,大鼠中叶具有左右肝成分和一条主要门静脉裂。以下大鼠肝叶相当于以下人类肝脏段:左叶相当于第II段;中叶相当于第III、IV、V和VIII段;右叶相当于第VI和VII段。大鼠和人类肝脏的基本结构相似,这些发现展示了对人类肝脏解剖结构的一种新解释。