Definition of the caudate lobe of the liver based on portal segmentation.

anatomy of the liver caudate lobe liver cast liver surgery paracaval portion portal segmentation

Journal

Global health & medicine
ISSN: 2434-9194
Titre abrégé: Glob Health Med
Pays: Japan
ID NLM: 101771579

Informations de publication

Date de publication:
31 Oct 2020
Historique:
received: 14 10 2020
revised: 20 10 2020
accepted: 24 10 2020
entrez: 17 12 2020
pubmed: 18 12 2020
medline: 18 12 2020
Statut: ppublish

Résumé

Models of liver corrosion were developed by injecting colored Mercox, epoxy resin, silicon rubber and other materials into the portal vein, hepatic artery, bile duct and hepatic vein of autopsied livers. The glissonean or venous branches that obstructed the view of the caudate lobe of the liver were subsequently removed. The detailed anatomy of the caudate vessels was studied and the three parts of the caudate lobe (Spiegel lobe, paracaval portion and caudate process) were defined based on portal segmentation. Caudate portal branches should be defined as dorsal branches arising from the main trunk, or from the first order branches of the portal vein covering the hepatic region in front of the inferior vena cava. The hepatic region, where the internal branches from segment eight cover the front of the inferior vena cava, should be defined as segment eight, and not as the paracaval portion. Prof. Couinaud defined the right side of the caudate lobe as segment IX based on the spatial position; however, this classification of the caudate section seemed to lack consistency with that of other hepatic segments, which were defined based on portal segmentation. We have sustained the dogma that any hepatic segment should be defined based on portal segmentation, and our classification of the definition and boundary of the caudate lobe, which was published in 1985, has sufficient consistency to be used as an international standard.

Identifiants

pubmed: 33330828
doi: 10.35772/ghm.2020.01088
pmc: PMC7731356
doi:

Types de publication

Journal Article

Langues

eng

Pagination

328-336

Informations de copyright

2020, National Center for Global Health and Medicine.

Déclaration de conflit d'intérêts

The authors have no conflict of interest to disclose.

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Auteurs

Masamitsu Kumon (M)

Noichi Central Hospital, Konan, Kochi, Japan.

Tatsuya Kumon (T)

Noichi Central Hospital, Konan, Kochi, Japan.

Emiko Tsutsui (E)

Noichi Central Hospital, Konan, Kochi, Japan.

Chihiro Ebashi (C)

Noichi Central Hospital, Konan, Kochi, Japan.

Tsutomu Namikawa (T)

Department of Surgery, Kochi Medical School, Nankoku, Kochi, Japan.

Kyoji Ito (K)

Department of Hepato-Biliary-Pancreatic Surgery, National Center for Global Health and Medicine, Tokyo, Japan.

Yoshihiro Sakamoto (Y)

Department of Hepato-Biliary-Pancreatic Surgery, Kyorin University Hospital, Mitaka, Tokyo, Japan.

Classifications MeSH