Chinese Journal of Clinical Anatomy >
The characteristic of anatomical structures and clinical significance about the Glisson pedicle of right anterior section
Received date: 2014-02-06
Online published: 2015-04-21
Objective To observe the anatomical structures and distributions of the Glissonean pedicle of the Right anterior section, and providing anatomical basis for the precise hepatectomy of the Right anterior section lesions. Method Making morphological observation of the Glissonean pedicle of the right posterior section through peeling and dissecting 20 cases of adult corpses without liver pathological changes ,then collecting the relevant data and making statistical analysis. Result 95% of the Glissonean pedicle of the right liver divided into the right anterior and posterior branches, and 5% into the right anterior,G6 and G7 branches. The length of the Glisson pedicle of the stem of right liver is (2.36±0.56) cm. The length of the the Glisson pedicle of right anterior is (2.61±0.72)cm. The depth between the Glisson pedicle of the root of right anterior lobe and the visceral surface of liver is (1.99±0.43) cm；The depth between the Glisson pedicle of terminal segment of the right anterior lobe to the diaphragmatic surface of liver is (4.84±1.95) cm；The shortest distance between the Glisson pedicle of the stem of right anterior lobe to MHV's stem is (1.61±0.90) cm；The shortest distance between the Glisson pedicle of the stem of the right anterior lobe to RHV's stem is (1.89±0.80) cm. Angle between GRA/MHV is (74.4±16.8)°； angle between GRA/MHV is (73.1±19.6)°；The shapes of 20% of the Glissonean pedicle of the Right anterior section presented as Couinaud's type，65% Cho A's type, 15% mixed type；the number of third order branches is between 2 to 6. Conclusion The distribution of the Glissonean pedicle of the right anterior section does not entirely fit the description of Couinaud's segment; obvious individual differences do exist. Therefore, it is vital to understand the anatomy of the Glissonean pedicle of the right anterior section before precise hepatectomy is carried out.
LIU Qiao-Yun , MA Xin-Yi , YU Zhi-Yong , GAO Ze-Hai , CA Jiang , HOU Li-Chi . The characteristic of anatomical structures and clinical significance about the Glisson pedicle of right anterior section[J]. Chinese Journal of Clinical Anatomy, 2015 , 33(2) : 121 -125 . DOI: 10.13418/j.issn.1001-165x.2015
[1] Healey JE Jr, Schroy PC, Sorensen RJ. The intrahepatic distribution of the hepatic artery in man
[J]. J Int Coll Surg, 1953, 20(2): 133-148.
[2] Couniaud C. Contribution of anatomical research to liver surgery
[J]. Fr Med, 1956,19(5): 5-12.
[3] Bismuth H. Surgical anatomy and anatomical surgery of the liver
[J]. World J Surg,1982,6(1): 3-9.
[4] Takasaki K. Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation
[J]. J Hepatobiliary Pancreat Surg, 1998, 5(3): 286-291.
[5] Cho A, Okazumi S, Makino H, et al. Relation between hepatic and portal veins in the right paramedian sector: proposal for anatomical reclassification of the liver
[J]. World J Surg, 2004, 28(1): 8-12.
[6] Kogure K, Kuwano H, Fujimaki N, et al. Reproposal for Hjortsjo's segmental anatomy on the anterior segment in human liver
[J]. Arch Surg, 2002, 137(10): 1118-1124.
[7] 赵振美, 刘树伟, 林祥涛,等. 国人肝段的再认识
[J]. 解剖学杂志,2008,31(3): 400-403, 449.
[8] 谢于, 蔡守望, 董家鸿, 等. 基于肝内肝门静脉解剖的肝脏右前叶分段新概念
[J]. 中国临床解剖学杂志, 2010,28(6): 651-654.
[9] Cho A, Okazumi S, Miyazawa Y, et al. Proposal for a reclassification of liver based anatomy on portal ramifications
[J]. Am J Surg, 2005,189(2): 195-199.
[10]Couinaud C. Surgical Anatomy of the Liver Revisited
[M]. Paris, Acheve Dimprimer Sur Les Presses,1989:130-132.
[11] 刑雪. 肝静脉外科
[M].北京:人民卫生出版社, 2005:43-44.
/
| 〈 |
|
〉 |
