Abstract
Background
Information on anatomy of intrahepatic inferior vena cava (IVC) and hepatic vein openings in it is limited.
Methods
We studied the retrohepatic segment of IVC and hepatic vein openings in it in 69 livers obtained from cadavers. The retrohepatic portion of the IVC was opened posteriorly by a vertical cut, the exposed surface was divided into 12 quadrants and the position, size, and septation of ostia of hepatic veins and any accessory openings were charted; measurements were made using Vernier calipers.
Results
The median length of the intrahepatic IVC was 5.7 (range 3.3–8.2) cm and its median diameter was 2.3 (range 1.5–3.0) cm. The superior (major) set of hepatic veins comprised of two veins (right and left-middle) in 45 (65%) cases, three veins (right, middle, and left) in 23 (33%) and four veins in one (2%) case. Median diameter of the right hepatic vein was 1.5 (range 0.8–2.7) cm and that of left hepatic vein was 1.2 (0.7–2.6) cm. Middle hepatic vein, when separate, had a median diameter of 1.1 (range 0.5–1.5) cm. The inferior (minor) set of hepatic veins had two to 16 (median 7) veins.
Conclusions
Our data provide information on number, size, position, and septation of hepatic vein openings into the IVC. This information may be useful to hepatologists, hepatic surgeons while planning segmental resection of the liver, and to radiologists planning diagnostic and interventional procedures on hepatic venous system.
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References
Sahni D, Harjeet, Chawla YK, Jit I. Gross anatomy of the retro hepatic segment of the inferior vena cava in northwest Indians. Indian J Med Res 2006;124:63–70.
Chang RWH, Shan-Quan S, Yen WWC. An applied anatomical study of the ostia venae hepaticae and the retro hepatic segment of the inferior vena cava. J Anat 1989;164:41–47.
Camargo AMSR, Teixeira GG, Ortale JR. Anatomy of the ostia venae hepaticae and the retro hepatic segment of the inferior vena cava. J Anat 1996;188:59–64.
Nakamura S, Tsuzuki T. Surgical anatomy of the hepatic veins and the inferior vena cava. Surg Gynecol Obstet 1981;152:43–50.
Mehran R, Schneider R, Franchebois P. The minor hepatic veins: Anatomy and classification. Clin Anat 2000;13:416–421.
Sharma D, Deshmukh A, Raina VK. Surgical anatomy of retrohepatic inferior vena cava and hepatic veins: a quantitative assessment. Indian J Gastroenterol 2001;20;136–139.
Gupta SC, Gupta CD, Gupta SB. Hepatovenous segments in the human liver. J Anat 1981;133:1–6.
Gibson JB. The hepatic veins in man and their sphincter mechanisms. J Anat 1959;93:368–379.
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Joshi, S.D., Joshi, S.S. & Siddiqui, A.U. Anatomy of retrohepatic segment of inferior vena cava and termination of hepatic veins. Indian J Gastroenterol 28, 216–220 (2009). https://doi.org/10.1007/s12664-009-0081-5
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DOI: https://doi.org/10.1007/s12664-009-0081-5