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[右肝叶后段的肝后静脉——术语及手术意义]

[Retrohepatic veins of the posterior section of the right hepatic lobe--terminology and surgical significance].

作者信息

Djukanović B, Boricić I, Djordjević Lj, Bilanović D, Bulajić P, Milićević M

机构信息

KBC Bezanijska kosa Beograd, Klinika za hirurgiju.

出版信息

Acta Chir Iugosl. 2006;53(1):35-40. doi: 10.2298/aci0601035d.

Abstract

Three main hepatic veins: right, middle and left are constant, but there is a variable number of retrohepatic vessels called accessory or minor hepatic veins. The most important of them are veins reffered to as middle right hepatic vein (MRHV) draining segment VII and inferior right hepatic vein (IRHV) draining segment VI. The incidence of large MRHV and IRHV reaching or exceeding a caliber of 5mm, their arrangement in the liver and drainage territories were investigated in our collection of 142 injection-corrosion specimens of the liver. In 1/5 of the cases with large IRHV this vein drains small part of segment VI, sometimes its insignificant marginal part so it couldn't be used for segment VI preservation when it is necessary. A precise knowledge of the vein anatomy of right posterior sector of the liver and its vein drainage territories is very important during complex dissections of the retrohepatic areas, resections and preservation liver parenchima.

摘要

三条主要肝静脉

右、中、左肝静脉恒定存在,但存在数量不定的肝后血管,称为副肝静脉或小肝静脉。其中最重要的是引流Ⅶ段的右中肝静脉(MRHV)和引流Ⅵ段的右下肝静脉(IRHV)。在我们收集的142例肝脏注射腐蚀标本中,对管径达到或超过5mm的大MRHV和IRHV的发生率、它们在肝脏中的排列以及引流区域进行了研究。在1/5存在大IRHV的病例中,该静脉引流Ⅵ段的一小部分,有时是其无足轻重的边缘部分,因此在必要时不能用于保留Ⅵ段。在肝后区域的复杂解剖、肝实质切除和保留过程中,准确了解肝脏右后叶的静脉解剖及其静脉引流区域非常重要。

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