Applied anatomy of the liver vascular.docVIP

 PAGE \* MERGEFORMAT 6 Applied anatomy of the liver vascular [Keywords:] liver, blood flow occlusion; Anatomy Surgical treatment of liver cancer is currently more effective method, because the liver vein and artery distribution of the complex and rich blood supply, can effectively control bleeding as key to successful operation [1]. Preoperative vascular structure of a comprehensive understanding of the liver a prerequisite for a successful operation, so as to ensure better and faster operation. now the application of liver anatomy and the surgical report below. 1 Distribution of hepatic vascular anatomy Select the formalin treatment, visual observation of a lesion without significant adult corpses were dissected liver specimens. After the liver along the hepatic vein cut open the middle section of the posterior wall of the lumen, the liver after hepatic vein were divided into upper, middle and lower three equal parts. Let the midpoint of the inferior vena cava ventral to the front of the clock 1:00 bit, take the following view of a clockwise position, the stereo dissecting microscope observation of the posterior segment hepatic vein hepatic vein hepatic copies of the count and the observed hepatic vein in the liver extracellular situation. First, the blood draining hepatic vein hepatic vein hepatic vein as statistical quantities, rate and diameter appear to observe the drainage of the scope, location and open relationship with the hepatic veins. and then diaphragmatic surface of liver hepatic vein and inferior vena cava at the reverse import careful dissection of hepatic vein, observe the direction of origin, length of dry measuring hepatic vein surgery (ie import the hepatic vein to inferior vena cava at the radius of 2.0 mm or more in the vein near the liver Heart-side distance between the branches of the trunk is the start of convergence, trunk length, trunk, and import the midpoint of the inferior vena cava and trunk diameter at the upper wall