Other Liver Disease
Applied anatomical study and clinical application of the caudate lobe boundary and ductal system of the liver
Huang Yihua, Jiang Xinhua, Yuan Hang, Zou Huaying, Mao Wei
Published 2022-10-20
Cite as Chin J Hepatol, 2022, 30(10): 1100-1106. DOI: 10.3760/cma.j.cn501113-20210823-00423
Abstract
ObjectiveTo explore the relationship between the hepatic caudate lobe boundary and the ductal system so as to guide the identification of the anatomical relationship during liver surgery.
MethodsThe specific parts were observed and the liver parenchyma was removed according to 41 cadaveric liver autopsy specimens. The critical relationship between the hepatic caudate lobe and other ducts was observed to explore the reticular duct structure.
ResultsThe plane formed by the hepatic hilar plate and Arantius ligament served as the boundary between the caudate lobe and other hepatic lobes. The caudate lobe hepatic portal vein was composed of numerous small branches from its left and right branches. The portal vein adjacent to the vena cava was mainly derived from the left branch, and to a lesser extent from the right branch. Blood was drained straight from the caudate lobe vein into the inferior vena cava via the short hepatic vein. There were three or four bile duct branches in the caudate lobe. The main source of arterial blood flow were the left and right branches of the hepatic artery. An avascular zone of loose connective tissue was found between the caudate lobe and the retrohepatic inferior vena cava.
ConclusionThe hepatic caudate lobe is an independent lobe. During hepatic caudate lobe surgery, the plane formed by the hepatic hilar plate and Arantius ligament can serve as the boundary between the caudate lobe and other hepatic lobes and be used for anatomical site identification. The duct system of the caudate lobe's is complicated, but it also has its own distinct regularity.
Key words:
Caudate lobe; Vana cava; Short hepatic vein; Inferior right hepatic vein; Arantius ligament
Contributor Information
Huang Yihua
Department of General Surgery, the Ninth Hospital of Nanchang, Nanchang 330002, China
Jiang Xinhua
Department of General Surgery, the Ninth Hospital of Nanchang, Nanchang 330002, China
Yuan Hang
Department of General Surgery, the Ninth Hospital of Nanchang, Nanchang 330002, China
Zou Huaying
Department of General Surgery, the Ninth Hospital of Nanchang, Nanchang 330002, China
Mao Wei
Department of General Surgery, the Ninth Hospital of Nanchang, Nanchang 330002, China