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门静脉在肝脏右叶和尾状叶内的分支。

Intrahepatic ramification of the portal vein in the right and caudate lobes of the liver.

作者信息

Yamane T, Mori K, Sakamoto K, Ikei S, Akagi M

机构信息

Department of Surgery II, Kumamoto University Medical School, Japan.

出版信息

Acta Anat (Basel). 1988;133(2):162-72. doi: 10.1159/000146634.

Abstract

We defined the subsegmental divisions and the ramification patterns of the portal vein in the right and caudate lobes using 25 human liver casts. The ramifications of the portal vein and the subdivisions of the liver were classified based on the major portal veins with the largest diameter and those having a diameter of not less than two thirds of the largest vein in each subsegment. The following results were obtained. (1) The portal trunk showed three ramification patterns and the basic pattern was bifurcation (80%). (2) The anterior portal vein first ramified into several anterior-inferior portal veins (P5) and ran toward the superior direction to bifurcate into 2 major portal veins in the anterior-superior subsegment (S8). (3) There were three types of ramification patterns of the portal veins in S8: bifurcation (84%), trifurcation and one-pedicle type. (4) There were also three branching types of the largest vein (P5-max) in P5: ramification from the anterior portal vein, P8-anterior vein supplying the anterior region of S8 and P8-posterior vein supplying the posterior region of S8. (5) The posterior portal vein showed two ramification patterns of the bifurcation (36%) and nonbifurcation type. (6) The major portal veins in the caudate subsegment ramified at various sites such as the portal trunk, left, right and/or other portal veins.

摘要

我们使用25个肝脏铸型标本,对门静脉在右叶和尾状叶的亚段分支及分支模式进行了研究。门静脉分支及肝脏亚段划分是根据直径最大的主要门静脉以及直径不小于各亚段最大门静脉直径三分之二的门静脉来确定的。结果如下:(1)门静脉主干呈现三种分支模式,基本模式为二分法(80%)。(2)门静脉前支先分支为若干前下门静脉(P5),然后向上走行,在肝前上亚段(S8)分为2条主要门静脉。(3)S8区门静脉有三种分支模式:二分法(84%)、三分法和单支型。(4)P5区最大门静脉(P5-max)也有三种分支类型:起源于门静脉前支、供应S8区前部的P8前支和供应S8区后部的P8后支。(5)门静脉后支呈现二分法(36%)和非二分法两种分支模式。(6)尾状叶亚段的主要门静脉在门静脉主干、左门静脉、右门静脉和/或其他门静脉等不同部位分支。

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