An applied anatomical study of the right posterior sectional Glissonean pedicle
Liu Qiaoyun, Ma Xinyi, Yu Zhiyong, Gao Zehai, Cai Qiang, Deng Yan
Published 2014-03-28
Cite as Chin J Hepatobiliary Surg, 2014,20(03): 161-164. DOI: 10.3760/cma.j.issn.1007-8118.2014.03.001
Abstract
Objective To study the anatomical structure and the distribution of the right posterior sectional Glissonean pedicle so as to provide the anatomical basis for liver resection of the right posterior section.Method By studying the morphological features of the right posterior sectional Glissonean pedicle through peeling and dissecting 20 adult corpses without liver pathological.Result In 95% of the right posterior sectional Glissonean pedicles there were shared branches.The angle between the GRL/GRA was 81.4° ± 13.8°.In 30%,the right posterior sectional Glissonean pedicle presented as a Y or a V.In a Y shaped,the angle between G6/G7 was 71 ° ±3.92°.The shapes of 70% of the right posterior sectional Glissonean pedicle presented as a C.The number of branches at the tertiary level was between 3-8.Conclusion The distribution of the right posterior sectional of the Glissonean pedicle did not entirely fit the description of Couinaud's segments.Obvious individual differences existed.Under this circumstance,understanding the anatomy of the right posterior sectional Glissonean pedicle before carrying out partial hepatectomy would be helpful in reducing surgical risks and postoperative complications.
Key words:
Right posterior sectional Glissonean pedicle; Applied anatomy; Precise hepatectomy
Contributor Information
Liu Qiaoyun
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China
Ma Xinyi
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China
Yu Zhiyong
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China
Gao Zehai
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China
Cai Qiang
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China
Deng Yan
The Third Area of General Surgery Department,Forth Affiliated Hospital of Kunming Medical University, Kunming 650021, China