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Offene Lymphgefäße im Ligamentum falciforme hepatis des Menschen

Open lymphatics in the falciform ligament of the human liver

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Summary

The falciform ligament and the ligamentum teres of the liver are the so-called ventral mesohepaticum. These ligaments are covered on both sides by one layer of mesothelial cells and consist of a dense network of lymphatic capillaries. Preparations of semithin sections were examined light microscopically, ultrathin sections by means of transmission electron microscopy and gold sputtered surface preparations by scanning electron microscopy. It could be shown for the first time that in the mesothelial cell surface there are so-called “stomata”, holes which are considered to be connections between the peritoneal cavity and lymphatic capillaries. This network of lymphatics is able to rapidly absorb fluids and particles like blood cells. The knowledge of localisation, structure and function of the submesothelial lymphatic system is of high importance for surgical processing, because in most infections and tumor diseases it is also affected.

Zusammenfassung

Das Ligamentum falciforme hepatis ist das Mesohepaticum ventrale and umfaßt das Ligamentum teres hepatis, die obliterierte Nabelvene. Es ist beidseits von einer Mesothelzellschicht überzogen und weist ein dichtes, submesothelial gelegenes Lymphgefäßnetz auf. Dieses Lymphgefäßnetz wurde erstmals beim Menschen im Semidünnschnitt, im Transmissions- und Rasterelektronenmikroskop untersucht, wobei der Nachweis von Stomata - Öffnungen der Lymphgefäße zum Cavum peritonei - gelang. Dieses Lymphgefäßnetz ist in der Lage, Partikel zumindest der Größe eines Erythrozyten und Flüssigkeiten aufzunehmen. Die Kenntnis von Lage, Struktur and Funktion des submesothelialen Lymphgefößsystems ist von hohem chirurgischen Interesse, da dieses Gefäßsystem vor allem bei Infektionen und Geschwulstkrankheiten mit betroffen ist.[/p]

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Authors and Affiliations

  1. Chirurgische Klinik der Universitat, Abteilung fur Unfallchirurgie, Martinistraße 52, D-2000, Hamburg 20

    C. Tesch

  2. Chirurgische Klinik der Universitat, Abteilung fur Allgemeinchirurgie, Martinistraße 52, D-2000, Hamburg 20

    D. Henne-Bruns

  3. Anatomisches Institut der Universitat, Abteilung fur Mikroskopische Anatomic, Martinistraße 52, D-2000, Hamburg 20

    A.F. Holstein

Authors
  1. C. Tesch
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  2. D. Henne-Bruns
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  3. A.F. Holstein
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Meinem Vater, Herrn Gerhard Tesch, zum 65. Geburtstag gewidmet

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Tesch, C., Henne-Bruns, D. & Holstein, A. Offene Lymphgefäße im Ligamentum falciforme hepatis des Menschen. Langenbecks Arch Chir 375, 130–134 (1990). https://doi.org/10.1007/BF00206804

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  • DOI: https://doi.org/10.1007/BF00206804

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