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Other Types of Hepatic Resection for HCC

  • Jixiong Hu
  • Weidong Dai
  • Chun Liu
  • Tenglong Tang
Chapter

Abstract

The caudate lobe lies between major vascular structures: the inferior vena cava posteriorly and the portal triad inferiorly and the right and the middle and left hepatic veins at the upper part [1]. Couinaud’s definition of the caudate lobe is based on morphological segmentation but not on portal perfusion. Thus, Kumon’s definition of the caudate lobe was widely accepted and applied, in which the caudate lobe was divided into three parts: the Spiegel lobe, paracaval portion, and caudate process based on portal perfusion [2, 3]. The branches of the paracaval portion were defined as the branches originating from the first-order branches of the portal vein and passing toward the cranial side, along with the retrohepatic inferior vena cava. Many other small vessels from the portal vein go into the caudate lobe, but usually there is one large trunk. The large vein is about 1 mm in diameter and 5 mm in length. Isolation and division of this branch is an important step in the dissection of the caudate blood supply at the base of the umbilical fissure [4].

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Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Jixiong Hu
    • 1
  • Weidong Dai
    • 1
  • Chun Liu
    • 1
  • Tenglong Tang
    • 2
  1. 1.Department of Hepatobiliary Surgery and Hunan Provincial Key Laboratory of Hepatobiliary Disease Research, The Second Xiangya HospitalCentral South UniversityChangshaPR China
  2. 2.Department of Minimally Invasive Surgery, The Second Xiangya HospitalCentral South UniversityChangshaPR China

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