Close relation between the inferior vena cava ligament and the caudate lobe in the human liver

Abstract

Background/Purpose

This study was conducted to clarify the real relation between the inferior vena cava (IVC) ligament and the caudate lobe in the human liver and also to elucidate their surgical importance in liver surgery.

Methods

Specimens obtained from 20 adult cadaveric livers were submitted for the study. Histological structures of the IVC ligament and its relationship to the caudate lobe and the IVC were microscopically investigated.

Results

The IVC ligament was a broad membranous connective tissue bridging the left and right side edges of the caval groove in which the IVC was embedded. At both edges of the caval groove, the IVC ligament was continuously transformed from the Glisson's capsules of the caudate and right lobes. The component of the portal triad, which originated from that of caudate lobe, and lymphatics were distributed in the IVC ligament without exception and ectopic hepatocytes existed in it in 4 of the 20 cases.

Conclusions

A close relation between the IVC ligament and the caudate lobe was confirmed. The findings suggested that the IVC ligament is a kind of degenerated hepatic tissue. When dissecting it, surgeons should manipulate it carefully to prevent unexpected bleeding and bile leakage.

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References

  1. 1

    M Tabata Y Kawarada H Yokoi T Higashiguchi S Isaji (2000) ArticleTitleSurgical treatment for hilar cholangiocarcinoma J Hepatobiliary Pancreat Surgery 7 148–54 Occurrence Handle10.1007/s005340050169 Occurrence Handle1:STN:280:DC%2BD3cvotFyruw%3D%3D

    Article  CAS  Google Scholar 

  2. 2

    Y Nimura J Kamiya S Kondo M Nagino K Uesaka K Oda et al. (2000) ArticleTitleAggressive preoperative mangement and extended surgery for hilar cholangiocarcinoma: Nagoya experience J Hepatobiliary Pancreat Surg 7 155–62 Occurrence Handle10982608 Occurrence Handle10.1007/s005340050170 Occurrence Handle1:STN:280:DC%2BD3cvotFyqsg%3D%3D

    PubMed  Article  CAS  Google Scholar 

  3. 3

    T Takayama M Makuuchi K Kubota K Sano Y Harihara H Kawarasaki (2000) ArticleTitleLiving-related transplantation of left liver plus caudate lobe J Am Coll Surg 190 635–8 Occurrence Handle10801033 Occurrence Handle10.1016/S1072-7515(00)00255-6 Occurrence Handle1:STN:280:DC%2BD3c3lvV2ksw%3D%3D

    PubMed  Article  CAS  Google Scholar 

  4. 4

    J Kaneko Y Sugawara Y Matsui N Akamatsu Y Kishi M Makuuchi (2005) ArticleTitleCorrelation between drainage area volume of middle hepatic vein and liver function Hepatogastroenterology 52 866–8 Occurrence Handle15966222

    PubMed  Google Scholar 

  5. 5

    M Makuuchi J Yamamoto T Takayama T Kosuge P Gunven H Yamazaki H Hasegawa (1991) ArticleTitleExtrahepatic division of the right hepatic vein in hepatectomy Hepatogastroenterol 38 176–9 Occurrence Handle1:STN:280:By6A3M%2FgtlA%3D

    CAS  Google Scholar 

  6. 6

    I Hirai W Kimura G Murakami K Suto A Fuse (2003) ArticleTitleSurgical anatomy of the inferior vena cava ligament Hepatogastroenterol 50 983–7

    Google Scholar 

  7. 7

    GM Wyburn (1972) The digestive system. The liver GJ Romanes (Eds) Cunningham's textbook of anatomy EditionNumber11th ed Oxford University Press London 455–9

    Google Scholar 

  8. 8

    Sutherland F. Extrahepatic control of the hepatic veins: anatomic studies. J Hepatobiliary Pancreat Surgery 2002; abstracts of the 5th World Congress of the International Hepato-Pancreato-Biliary Association. p. 078

  9. 9

    JM Sarmiento FG Que DM Nagorney (2002) ArticleTitleSurgical outcomes of isolated caudate lobe resection: a single series of 19 patients Surgery 132 697–708 Occurrence Handle12407355 Occurrence Handle10.1067/msy.2002.127691

    PubMed  Article  Google Scholar 

  10. 10

    M Kumon (1985) ArticleTitleAnatomy of the caudate lobe with special reference to portal vein and bile duct (in Japanese) Kanzou (Acta Hepatol Jpn) 26 1193–9

    Google Scholar 

  11. 11

    K Kogure H Kuwano N Fujimaki M Makuuchi (2000) ArticleTitleRelation among portal segmentation, proper hepatic vein, and external notch of the caudate lobe in the human liver Ann Surg 231 223–8 Occurrence Handle10674614 Occurrence Handle10.1097/00000658-200002000-00011 Occurrence Handle1:STN:280:DC%2BD3c7jslSkuw%3D%3D

    PubMed  Article  CAS  Google Scholar 

  12. 12

    C Couinaud (1981) Portal segmentation C Couinaud (Eds) Controlled hepatectomies and exposure of the intrahepatic bile ducts Couinaud C Paris 11–9

    Google Scholar 

  13. 13

    BJ Anson CB McVay (1971) Surgical anatomy. 5th Ed: abdominal cavity and contents: liver Saunders Philadelphia 575–8

    Google Scholar 

  14. 14

    J Langman MW Woerdeman (1978) Atlas of medical anatomy: abdomen Saunders Philadelphia 119–25

    Google Scholar 

  15. 15

    T Takayama T Tanaka T Higaki K Katou Y Teshima M Makuuchi (1994) ArticleTitleHigh dorsal resection of the liver J Am Coll Surg 179 72–5 Occurrence Handle8019729 Occurrence Handle1:STN:280:ByuB1M%2FnsVw%3D

    PubMed  CAS  Google Scholar 

  16. 16

    T Maeba K Okano S Mori Y Karasawa F Goda H Wakabayashi et al. (2000) ArticleTitleExtent of pathologic invasion of the inferior vena cava in resected liver cancer compared with possible caval invasion diagnosed by preoperative images J Hepatobiliary Pancreat Surg 7 299–305 Occurrence Handle10982630 Occurrence Handle10.1007/s005340070052 Occurrence Handle1:STN:280:DC%2BD3cvotF2isA%3D%3D

    PubMed  Article  CAS  Google Scholar 

  17. 17

    S Kitagawa G Murakami F Hata K Hirata (2000) ArticleTitleConfiguration of the right portion of the caudate lobe with special reference to identification of its right margin Clin Anat 13 321–40 Occurrence Handle10982992 Occurrence Handle10.1002/1098-2353(2000)13:5<321::AID-CA2>3.0.CO;2-R Occurrence Handle1:STN:280:DC%2BD3M%2FhtVSltw%3D%3D

    PubMed  Article  CAS  Google Scholar 

  18. 18

    S Ishiyama (2003) ArticleTitleClinical significance of dorso-lateral paracaval portion (in Japanese) Tan to Sui (J Biliary Tract and Pancreas) 24 75–80

    Google Scholar 

  19. 19

    J Champetier JL Davin C Letoublon Y Laborde R Yver F Cousset (1982) ArticleTitleAberrant biliary ducts (vasa aberrantia): surgical implications Anat Clin 4 137–45 Occurrence Handle10.1007/BF01800623

    Article  Google Scholar 

  20. 20

    R Kanagasuntheram (1957) ArticleTitleDevelopment of the human lesser sac J Anat 91 188–206 Occurrence Handle13416126 Occurrence Handle1:STN:280:CyiD283kvV0%3D

    PubMed  CAS  Google Scholar 

  21. 21

    P Collins (1995) Liver. Embryology and development PL Williams LH Bannister MM Berry (Eds) Gray's anatomy EditionNumber38th ed Churchill Livingstone Edinburgh 187–99

    Google Scholar 

  22. 22

    JE Healey PC Schroy (1953) ArticleTitleAnatomy of the biliary ducts within the human liver: analysis of the prevailing pattern of branching and the major variation of the biliary ducts Arch Surg 66 599–616

    Google Scholar 

Download references

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Correspondence to Kimitaka Kogure.

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Kogure, K., Ishizaki, M., Nemoto, M. et al. Close relation between the inferior vena cava ligament and the caudate lobe in the human liver. J Hepatobiliary Pancreat Surg 14, 297–301 (2007). https://doi.org/10.1007/s00534-006-1148-7

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Key words

  • Inferior vena cava ligament
  • Caudate lobe
  • Inferior vena cava
  • Human liver
  • Liver surgery