Proposal for a reclassification of liver based anatomy on portal ramifications - 18/08/11
![](/templates/common/images/mail.png)
Abstract |
Background |
Portal branching patterns that differ from those previously described are occasionally encountered during liver surgery.
Methods |
A total of 60 patients with normal intrahepatic venous anatomy underwent helical computed tomography during arterial portography (CTAP). Next, 3 dimensional portograms were reconstructed to verify the locations of the portal veins. Portal branching patterns in the right hemiliver were assessed.
Results |
In all 60 patients examined, the right anterior portal vein bifurcated into the ventral and dorsal branches. In 42 (70%) of 60 patients, some branches arose from the right posterior portal trunk. Between 1 and 3 branches (mean 2.3 branches per patient) coursed cranially, between 2 and 5 branches (mean 3.2 branches per patient) coursed caudally, and between 1 and 2 branches (mean 1.3 branches per patient) coursed laterally.
Conclusions |
We propose that the right liver should be divided into 3 segments, which are designated as the right anterior, middle, and posterior segments.
Le texte complet de cet article est disponible en PDF.Keywords : Portal ramification, Segmental anatomy, Right anterior segment, Right middle segment, Right posterior segment
Plan
Vol 189 - N° 2
P. 195-199 - février 2005 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?