An anatomical study of short hepatic veins, with special reference to delineation of the caudate lobe for hanging maneuver of the liver without the usual mobilization

2002 ◽  
Vol 9 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Toshio J. Sato ◽  
Ichiro Hirai ◽  
Gen Murakami ◽  
Tetsuhiro Kanamura ◽  
Fumitake Hata ◽  
...  
Keyword(s):  
Special Reference ◽  
Anatomical Study ◽  
Caudate Lobe ◽  
Hepatic Veins ◽  
Hanging Maneuver

scholarly journals A young man with progressive jaundice and abdominal distension

2019 ◽  
Vol 2 (1) ◽  
pp. 6-8
Author(s):  
Sith Siramolpiwat ◽  
Tanabute Limprukkasem
Keyword(s):  
Abdominal Distension ◽  
Caudate Lobe ◽  
Hepatic Veins ◽  
Budd Chiari Syndrome ◽  
Complete Obliteration ◽  
Chiari Syndrome ◽  
Life Threatening ◽  
Hepatic Venous Outflow ◽  
Complete Thrombosis ◽  
Upper Abdomen

Budd-Chiari syndrome (BCS) is a rare, life-threatening disease caused by obstruction of hepatic venous outflow. Common presentations are right upper quadrant pain, ascites, and hepatomegaly. A diagnosis of Budd-Chiari syndrome should be suspected when liver disease occurs in a patient with known risk factors for hypercoagulable state. We report a 22-years old transgender man presented with jaundice, marked ascites and hepatomegaly. Imaging studies showed complete thrombosis of all hepatic veins. Finally, he was diagnosed with Budd-Chiari syndrome with antiphospholipid syndrome.   Figure 1  ภาพ CT upper abdomen แสดงให้เห็น marked ascites with heterogeneous liver enhancement, complete obliteration of all hepatic, caudate lobe hypertrophy, small intrahepatic venous collateral และ small arterial enhancing nodules

Anatomical Basis of Liver Hanging Maneuver: A Clinical and Anatomical in Vivo Study

2007 ◽  
Vol 73 (11) ◽  
pp. 1193-1196 ◽  
Author(s):  
Giuseppe Maria Ettorre ◽  
Richard Douard ◽  
Valerio Corazza ◽  
Roberto Santoro ◽  
Giovanni Vennarecci ◽  
...  
Keyword(s):  
Vena Cava ◽  
Small Diameter ◽  
Hepatic Veins ◽  
Minor Bleeding ◽  
Complication Rates ◽  
Liver Hanging Maneuver ◽  
Anatomical Basis ◽  
Hanging Maneuver ◽  
Large N ◽  
Small N

Liver Hanging Maneuver (LHM) provides better exposure of the deeper section plane together with Inferior Vena Cava (IVC) protection during right hepatectomies without primary liver mobilization. This study assessed the feasibility and complication rates of LHM focusing on the anatomical distribution of the accessory hepatic veins in the retrohepatic portion of the IVC. From January 2002 to December 2005, LHM was planned in 49 consecutive major hepatectomies. The IVC retrohepatic portion was studied during the anhepatic phase in 17 liver transplantations with IVC preservation. The diameter and location of the vein openings were recorded after IVC division into nine portions. LHM was achieved in 47/49 patients (96%). Bleeding occurred in only one patient (2%) and did not entail procedure interruption. The anatomical study revealed a total of 86 veins present in 17 cases (5.18 ± 4 per patient) and classified them according to diameter (<3, 3 to 6, and >6 mm), as small (n = 40), medium (n = 29), and large (n = 17), respectively. Nine openings were found in the avascular channel for 6/17 (35%) patients (small n = 6, medium n = 3, large n = 0). LHM is a highly feasible procedure with minor bleeding risks due to the lower density and small diameter of short hepatic veins and caudate veins present in the avascular channel.

Endoscopic removal of a suprasellar arachnoid cyst: an anatomical study with special reference to skull base

2009 ◽  
Vol 32 (4) ◽  
pp. 389-392 ◽  
Author(s):  
Arnaud Dagain ◽  
Jean-François Lepeintre ◽  
Pietro Scarone ◽  
Ciprien Costache ◽  
Michel Dupuy ◽  
...  
Keyword(s):  
Special Reference ◽  
Skull Base ◽  
Arachnoid Cyst ◽  
Anatomical Study ◽  
Endoscopic Removal ◽  
Suprasellar Arachnoid Cyst

scholarly journals Laennec’s approach for laparoscopic anatomic hepatectomy based on Laennec’s capsule

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Yue Hu ◽  
Jiong Shi ◽  
Shaohe Wang ◽  
Wenjie Zhang ◽  
Xitai Sun ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Liver Diseases ◽  
Vena Cava ◽  
Operation Time ◽  
Hepatic Veins ◽  
The Novel ◽  
Hanging Maneuver ◽  
Glissonean Pedicle ◽  
Hematoxylin And Eosin ◽  
Hospital Days

Abstract Background Although isolating Glissonean pedicles and hepatic veins are critical procedures during anatomical hepatectomy, there is no standardized approach. We propose the novel Laennec’s approach for laparoscopic anatomic hepatectomy (LAH) based on Laennec’s capsule, which serves as the anatomic landmark for LAH. The aim of this study was to elucidate that the natural gap between Laennec’s capsule and the adjacent tissues contributes to standardization of the surgical technique for LAH. Methods Eighty-four cases were enrolled in this observable clinical trial. They underwent LAH for liver diseases. Laennec’s approach was proposed for LAH based on Laennec’s capsule. The liver tissues close to Glissonean pedicle, hepatic veins, naked area, and inferior vena cava were collected for hematoxylin and eosin, resorcinol-fuchsin staining, and immunohistochemistry. Results The staining revealed capsule packaging of the whole liver independent of the adjacent tissues and intrahepatic vessels. A natural gap was found between Laennec’s capsule and the adjacent tissues at different sites. Laennec’s capsule served as the landmark for isolating Glissonean pedicle and hepatic veins, mobilizing the liver, and performing Hanging maneuver. Eighty-four cases underwent LAH for liver diseases using this strategy. The operation time was 277.23 min. The mean of hospital days was 9.8. Conclusions Laennec’s approach based on Laennec’s capsule contributes to standardization of the surgical technique for LAH, and brings innovations that facilitates safe and effective liver resection under laparoscopy.

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