Surgical and Radiologic Anatomy

, Volume 40, Issue 4, pp 395–400 | Cite as

Measurements between the hepatic veins and portal venous system, in human cirrhotic liver: a cast study

  • José-Olímpio M. Vasconcelos-Filho
  • Adamastor H. Pereira
  • Guilherme B. B. Pitta
  • Laécio Leitão-Batista
  • Aldemar A. Castro
  • Alberto Ribeiro Souza-Leão
  • Cláudio M. Lacerda
Original Article
  • 55 Downloads

Abstract

Purpose

To measure the distance between the right and middle hepatic veins and portal vein branches, in human cirrhotic liver casts. Was this measure actually smaller in the cirrhotic liver than in normal one?

Materials and methods

This study was authorized by an area Research Ethics Committee, and each study subject or legal representative granted signed informed consent. Acrylic corrosion casts of 21 resected cirrhotic livers were generated. Diameters of hepatic veins and portal branches and pertinent intervening distances were measured. To assess differences in estimated average (relative to reference values), Student’s t test for one sample was applied.

Results

Mean distances from right hepatic vein to the right portal branch and to portal vein bifurcation were 33 ± 6.4 and 36 ± 7.4 mm, respectively, both significantly less than published reference values in healthy human livers (p < 0.0001 and p < 0.0002, respectively). Mean distances from middle hepatic vein to right and left branches of portal vein were 36 ± 6.8 and 26 ± 8.8 mm, respectively.

Conclusion

Distances separating right hepatic vein and portal vein (right branch and bifurcation) are diminished in cirrhotic livers compared to healthy ones. Given its caliber and proximity to portal branches, the middle hepatic vein remains as a reasonable alternative for TIPS procedures.

Keywords

Anatomy Cirrhosis Hepatic veins Portal system Corrosion casting 

Notes

Acknowledgements

We are grateful to all patients and their family members who collaborated in this study; to Dr. Bernardo Sabat by facilitating access to organs studied; to Dr. Norma Jucá for the histologic studies; to the mathematician Ulysses Montarroyos for the assistance in statistics; to staff of the Jayme da Fonte Hospital for the access to the surgical rooms; to the medicine student Elton-Kim Santos for his help in English-language translation and to Caio Lima for the drawing of liver.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflicts of interest concerning this article.

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Copyright information

© Springer-Verlag France SAS 2017

Authors and Affiliations

  • José-Olímpio M. Vasconcelos-Filho
    • 1
  • Adamastor H. Pereira
    • 3
  • Guilherme B. B. Pitta
    • 4
  • Laécio Leitão-Batista
    • 2
  • Aldemar A. Castro
    • 4
  • Alberto Ribeiro Souza-Leão
    • 2
  • Cláudio M. Lacerda
    • 1
  1. 1.Department of Surgery of the Oswaldo Cruz HospitalUniversity of PernambucoRecifeBrazil
  2. 2.Department of Radiology of the Oswaldo Cruz HospitalUniversity of PernambucoRecifeBrazil
  3. 3.Federal University of Rio Grande do SulPorto AlegreBrazil
  4. 4.State University of Health Sciences of AlagoasMaceióBrazil

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