Welcome to visit Acta Anatomica Sinica! Today is
Chinese
Anatomical symmetry of the intrahepatic Glisson system
YU Zhi-yong* LIU Qiao-yun WEI Jia MA Xin-yi GAO Ze-hai CAI Qiang
Acta Anatomica Sinica ›› 2014, Vol. 45 ›› Issue (5) : 682-687.
Anatomical symmetry of the intrahepatic Glisson system
Objective To observe the anatomical symmetry of the structures and istribution of the Glissonean pedicle of the intrahepatic Glisson system，integrating with embryology and comparative anatomy. Methods Morphology of the Glissonean pedicle of liver was examined through peeling and dissecting 20 adult corpses without liver pathological changes. The relevant data were collected and analyzed statistically. Meanwhile, we tried to elucidate elaborating the symmetry theory of liver anatomy through the dissection anatomy,embryonic anatomy and comparative anatomy. Results The angle between main stem of Glisson system/left branch of Glisson system(GM/GL) was (76.7±17.36)°. The angle between GM/GR was (81.4±13.8)°. The length of the the Glisson pedicle of left hepatic was (3.1±0.76)cm. The length of the the Glisson pedicle of middle hepatic was (2.61±0.72)cm. The length of the the Glisson pedicle of right hepatic was (1.5±0.50)cm. The shapes of the Glissonean pedicle stem of the left hepatic presenting arch, the number of radial level 3 branches were between 2-8. The shapes of the Glissonean pedicle stem of the middle hepatic continuing the main of Glissonean pedicle, the number of radial level 3 branches were between 2-6. The shapes of 30% of the Glissonean pedicle of the right hepatic presenting Y and V, 70% of the Glissonean pedicle of the right hepatic presenting C, the number of radial level 3 branches were between 3-8.
Conclusion In the light of morphology,embryology and comparative anatomy, it is reasonable to divide the liver into left,middle,right lobe by Glissonean pedicle of radial level 2 branches and the liver is an axiality and symmetry organ.
Intrahepatic Glissonean pedicle /
Symmetry of liver /
Anatomical dissection /
Adult
［1］Glisson F. Anatomia hepatic［M］. London: Pullein, 1654：211-292.
［2］Hjortsjo CH. The topography of the intrahepatic duct systems［J］. Acta Anat (Basel), 1951, 11(4): 599-615.
［3］Healey JE Jr, Schroy PC, Sorensen RJ. The intrahepatic distribution of the hepatic artery in man［J］. J Int Coll Surg, 1953, 20(2): 133-148.
［4］Couniaud C. Contribution of anatomical research to liver surgery［J］. Fr Med, 1956, 19(5): 5-12.
［5］Zhao ZhM，Liu ShW，Lin XT，et al.Sectional and imaging anatomy of the right hemiliver intrahepatie portal vein［J］.Acta Anatomica Sinica，2008，39(5)：760-764.(in Chinese)
赵振美，刘树伟，林祥涛，等.右半肝内门静脉的断层影像解剖学研究［J］.解剖学报，2008，39(5)：760-764.
［6］Takasaki K. Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation［J］. J Hepatobiliary Pancreat Surg, 1998, 5(3): 286-291.
［7］Bismuth H. Revisiting liver anatomy and terminology of hepatectomies［J］. Ann Surg, 2013, 257(3): 383-386.
［8］Cantlie J. On a new arrangement of the right and left lobes of the liver［J］. J Anat Physiol, 1898, 32(5): IV-IX.
［9］Xu M,Wu ZD，Chen XP，et al.Clinical research and measurement of liver volume by different methods ［J］. Journal of Hepatobiliary Surgery, 1994, 2(4): 204-207. (in Chinese)
许敏,吴在德, 陈孝平,等. 不同方法测定肝脏体积的实验与临床研究［J］. 肝胆外科杂志, 1994, 2(4): 204-207.
［10］Cho A, Okazumi S, Makino H,et al. Anterior fissure of the right liver—the third door of the liver［J］.J Hepatobiliary Pancreat Surg, 2004, 11(6):390-396.
［11］Couinaud C. The paracaval segments of the liver［J］. J Hepatobiliary Pancreatic Surg, 1994,1(2):145-151.
［12］Karaliotas CC, Broelsch CE, Habib NA. Liver and Biliary Tract surgery［M］. Greece: Springer, 2006: 3-19.
［13］Couinaud C. Surgical Anatomy of the Liver Revisited［M］. Paris, France: Achere D’Imprimer Sur Les Presses,1989: 123-134.
［14］Nagai M, Kubota K, Kawasaki S, et al. Are left-sided gallbladders really located on the left side［J］? Ann Surg, 1997, 225(3): 274-280.
［15］Shi JH, Zhu ShX, Zhang ShJ. Applied anatomy of liver and partial hepatectomy in rats［J］. World Chinese Journal of Digestology, 2008, 16(22): 2516-2520. (in Chinese)
史冀华, 朱盛兴, 张水军. 大鼠肝部分切除术的应用解剖及实施［J］. 世界华人消化杂志, 2008, 16 (22): 2516-2520.
［16］Kogure K, Ishizaki M, Nemoto M, et al. A comparative study of the anatomy of rat and human livers［J］. J Hepatobiliary Pancreat Surg, 1999, 6(2): 171-175.
［17］Lü Y,Meng LZh. Applied anatomy of SD rat liver and afiliated conduits［J］. Journal of Xian Medical University(Chinese Version), 1998, 19 (1): 70-73. (in Chinese)
吕毅, 孟令忠. SD大鼠肝脏及附属管道的应用解剖［J］. 西安医科大学学报(中文版), 1998, 19 (1): 70-73.
［18］Yu ZhY,Yang ZhY,Dong ShW，et al. Anatomical research of canine liver for a modified orthotopic piggyback liver transplantation model［J］. Journal of Digestive Surgery, 2005, 4( 6) : 435-438. (in Chinese)
喻智勇, 杨占宇, 董世武,等. 改良犬原位背驮式肝移植的解剖学观察［J］. 消化外科, 2005, 4(6): 435-438.
［19］Zhang Y,Lü Y,Yang XM，et al. Applied anatomy of canine liver and afiliated conduits［J］. Journal of the Fourth Military Medical University, 2006, 27(22): 2039-2042. (in Chinese)
张勇, 吕毅, 杨晓梅,等. 犬肝脏及附属管道的应用解剖［J］. 第四军医大学学报, 2006, 27(22): 2039-2042.
［20］Chen JJ. portal vein system and Hepatic vein system of Cattle［J］. Chinese Journal of Animal and Veterinary Sciences, 1998, 29(1): 89-94. (in Chinese)
陈嘉绩. 牛肝门静脉系统和肝静脉系统［J］. 畜牧兽医学报, 1998, 29(1): 89-94.
［21］Sisson S, Grossman JD. The Anatomy of the Domestic Animals［M］. London:General Books, 1975: 492-495,908-911.
［22］Ye ZZ，Zhang YP,et al. Snubnosed Monkey Anatomy［M］.Kun Ming: Yunnan Science & Technology Press, 1987:117-124, 127-129. (in Chinese)
叶智彰, 张跃平等. 金丝猴解剖［M］. 昆明: 云南科学技术出版社, 1987:117-124, 127-129.
/
| 〈 |
|
〉 |
