Surgical Anatomy of Liver Segment IV

Overview

Journal Anat Clin

Specialty Anatomy & Histology

Date 1984 Jan 1

PMID 6525304

Citations 6

Authors

J P Sales

L Hannoun

J P Sichez

J Honiger

E Levy

Affiliations

Soon will be listed here.

Abstract

Classical studies of the anatomy of the liver have led to the wide practice of hepatic resection. The difficulties encountered in the course of either right hepatectomy enlarged to include segment IV or left hepatectomy are mainly related to the vascular relations of this liver segment. This paper presents a summary of data from the literature concerning segment IV of the liver, as well as the results of experimental study via an original technique of resin injection of the portal vasculature and biliary drainage of this segment. The relations of the portal pedicles of segment IV with the bile duct originating from the confluence of the ducts draining segments II and III and with the left paramedian branch of the portal vein are described. Knowledge of these anatomical relations is essential to the proper execution of major hepatectomy.

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References

Gupta C, Mittal V, Gupta S . Intrahepatic pattern of the biliary ducts and their major variations. Indian J Med Res. 1975; 63(8):1130-7. View

Gupta S, Gupta C, Arora A . Subsegmentation of the human liver. J Anat. 1977; 124(Pt 2):413-23. PMC: 1234845. View

HJORTSJO C . The topography of the intrahepatic duct systems. Acta Anat (Basel). 1951; 11(4):599-615. View

Aiginger P, Polterauer P, Tizian C . On the existence of intrahepatic bile duct shunts. Anat Embryol (Berl). 1975; 147(1):111-6. DOI: 10.1007/BF00317967. View

Takahashi T . Lobular structure of the human liver from the viewpoint of hepatic vascular architecture. Tohoku J Exp Med. 1970; 101(2):119-40. DOI: 10.1620/tjem.101.119. View