Guo Z, He S, Wu Y
Hepato-Pancreato-Biliary Research Unit, First Affiliated Hospital, Chengdu.
Hua Xi Yi Ke Da Xue Xue Bao. 1996 Sep;27(3):270-4.
The purpose of this study is to identify the existence of hepatovenous intrahepatic anastomosis in normal men. A total of thirteen livers were investigated during the early autopsies of normal men who died in accidents. Perfusion venography of branches of hepatic veins using meglucamine diatrizoate was done in six cases; this method we used had not been reported in the literature. In one case, portal venography was performed. And in the other six cases, liver substance staining was done by injecting the ink through the middle hepatic vein, and such staining of the liver was observed by light microscope. The results show, (1) there are intrahepatic anastomoses between the hepatic veins within the liver; (2) there are anastomoses between the middle hepatic vein and the accessory hepatic veins; and (3) shunts exist between portal veins and hepatic veins. The above findings provide an anatomical basis for the performance of irregular hepatectomy and the rationale for one or two hepatic veins ligation should such veins were traumatized or invaded by liver cancer.
本研究的目的是确定正常男性肝静脉肝内吻合的存在情况。在因意外事故死亡的正常男性早期尸检过程中，共对13个肝脏进行了研究。对6例使用泛影葡胺进行肝静脉分支的灌注静脉造影；我们所采用的这种方法在文献中尚未见报道。1例进行了门静脉造影。另外6例通过经肝中静脉注入墨水进行肝实质染色，并通过光学显微镜观察肝脏的这种染色情况。结果显示，（1）肝内肝静脉之间存在肝内吻合；（2）肝中静脉与副肝静脉之间存在吻合；（3）门静脉与肝静脉之间存在分流。上述发现为不规则肝切除术的实施提供了解剖学依据，也为在肝静脉受到创伤或被肝癌侵犯时结扎一条或两条肝静脉提供了理论基础。
