Camprodon R, Solsona J, Guerrero J A, Mendoza C G, Segura J, Fabregat J M
Arch Surg. 1977 Jan;112(1):38-40. doi: 10.1001/archsurg.1977.01370010040007.
Transplantation of resected hepatic fragments, with the attendant vascular and biliary tract reconstruction, presents difficulties. We have studied the intraparenchymal vascular division in the pig with a view to performing partial hepatectomies with the greastest possible anatomical support. Forty-six molds of the various vascular territories were obtained from the 31 porcine livers. Each segment of the median lobe is dependent on the adjacent lateral lobe. Its intersegmental fissure is the obligatory site for parenchymal section to be continued through horizontal portion of portal vein, hepatic artery, and left hepatic duct. A right hemihepatectomy unfailingly results in the devitalization of the left side of the liver. If the goal of a hepatectomy is the transplantation of the resected fragment, it is recommended that the right side of the liver be utilized, as its more convenient extrahepatic vascular and biliary calibre will permit pedicular conservation and anastomosis.
切除的肝碎片移植，连同随之而来的血管和胆道重建，存在困难。我们研究了猪的肝实质内血管划分，以期在尽可能最大解剖学支持下进行部分肝切除术。从31个猪肝中获取了46个不同血管区域的模型。中叶的每个节段都依赖于相邻的外侧叶。其节间裂是肝实质切开术必须经过门静脉水平部、肝动脉和左肝管继续进行的部位。右半肝切除术必然会导致肝左侧失活。如果肝切除术的目标是移植切除的碎片，建议使用肝右侧，因为其肝外血管和胆管口径更方便，将允许保留蒂部并进行吻合。
