Anatomical Study of the Caudate Lobe with Special Reference to Portal Venous and Biliary Branches Using Corrosion Liver Casts and Clinical Application.

Published on Feb 1, 2017in Liver cancer9.72
· DOI :10.1159/000454682
Masamitsu Kumon1
Estimated H-index: 1
The definition and extent of the human caudate lobe in the liver is unclear, and thus, the anatomy of the caudate lobe was studied using 23 corrosion liver casts, with special reference to the portal venous and biliary branches. These branches and their ramification type in the caudate lobe showed that this lobe includes: (1) the Spiegel lobe; (2) the paracaval portion; and (3) the caudate process portion. The three portions often have their own independent branches; for example, the portal venous and biliary branches of the Spiegel lobe were ramified mainly from the left-side tract, whereas those of the caudate process portion were ramified from the right-side tract. The portal venous branches of the paracaval portion were ramified mainly from the left portal vein, while the biliary branches of this portion drained into the right and left biliary tracts at almost equal frequencies. In most cases, the peripheral branches reached the liver surface beneath the diaphragm. Thus, the present division of the caudate lobe into three portions could make the extent of the caudate lobe clear and is considered logical from a clinical viewpoint.
📖 Papers frequently viewed together
51 Citations
17k Citations
23 Citations
THE ANATOMY of the biliary system has been the subject of extended research for many years. Largely because of their surgical importance in cholecystectomies and the ease with which they may be studied, interest has been centered on the extrahepatic bile ducts, while comparatively little attention has been given to the gross morphology of the bile ducts within the liver. Prior to 1888, anatomists, other than histologists, directed their attention chiefly to the external morphology of the liver. ...
471 CitationsSource
190 CitationsSource
Cited By36
#1Tian-Ge Sun (Third Military Medical University)
#2Xiaojun Wang (Third Military Medical University)H-Index: 4
Last. Shu-guo Zheng (Third Military Medical University)H-Index: 16
view all 8 authors...
Paracaval-originating cancers have been considered a contraindication for laparoscopic liver resection (LLR). This study aimed to explore the safety and feasibility of LLR in the treatment of paracaval-originating cancers. This study included 11 patients who underwent LLR and 20 who underwent open liver resection (OLR) for paracaval-originating cancers between May 2010 and November 2020. The outcomes of the procedures were retrospectively analyzed. There were no cases of perioperative death or c...
#1Wenxuan Xie (SYSU: Sun Yat-sen University)
#2Jiehui Tan (SYSU: Sun Yat-sen University)
Last. Xuezhen Zeng (SYSU: Sun Yat-sen University)
view all 10 authors...
We aimed to compare the efficacy of hepatic resection and percutaneous ablation for resectable caudate HCC within Milan criteria and to investigate the prognostic factors. Between August 2006 and August 2020, a total of 67 eligible patients with resectable caudate HCC within Milan criteria in three centers were retrospectively analyzed and divided into hepatic resection group (n = 46) and percutaneous ablation group (n = 21). Recurrence-free survival (RFS) and overall survival (OS) rates were co...
#1Li Liang (SDU: Shandong University)H-Index: 1
#2Donghai Zhuang (SDU: Shandong University)H-Index: 1
Last. Xu-Ting Zhi (SDU: Shandong University)H-Index: 7
view all 5 authors...
ABSTRACT To reveal the role of the postoperative choledochoscopy in treating the residual calculi in the caudate lobe (CL) of the liver.We recruited 66 patients with T-tube/percutaneous transhepatic cholangioscopy tract who still had residual gallstones in the CL at least 6 weeks after the operation. Imaging examinations determined the gallstones' locations in the patients, and all of them underwent the postoperative choledochoscopic examination through the T-tube/percutaneous transhepatic chola...
BACKGROUND Caudate lobe hemangioma of the liver is relatively rare. Due to the unique anatomical location of the caudate lobe, the caudate lobectomy accounts for only 0.5% to 4% of hepatic resection, which is difficult to operate and takes a long time, and even has many postoperative complications. CASE SUMMARY A 34-year-old female presented with a 1 year history of intermittent pain in the right side of the waist without obvious inducement. All laboratory blood tests were within normal limits. ...
#2May C. TeeH-Index: 2
Last. Jan FrankoH-Index: 6
view all 3 authors...
BACKGROUND Safety of liver resection for colorectal adenocarcinoma continues to improve due to decreased morbidity of resection. Minimally invasive techniques contribute greatly to this morbidity reduction. Isolated caudate lobectomy presents a unique technical challenge because of proximity to major vasculature. The video aims to review nuances of robotic isolated caudate lobectomy for metastatic colon adenocarcinoma.
#1Masaharu Kogure (Kyorin University)H-Index: 4
#2Yutaka Suzuki (Kyorin University)H-Index: 13
Last. Yoshihiro Sakamoto (Kyorin University)H-Index: 63
view all 7 authors...
PURPOSE Resection of liver cancer involving the paracaval portion (PC) of the caudate lobe is challenging because the PC is located deepest in the liver. This study aimed to elucidate the utility of two parenchymal-sparing approaches of limited resection and central hepatectomy for resecting tumors located in the PC. METHODS In 2018 and 2020, 12 out of 143 patients underwent hepatectomy for tumors located in the PC of the liver. In six patients, limited resection (LR) of the PC after full mobili...
#1Tadatoshi Takayama (Nihon University)H-Index: 90
#2Yutaka Midorikawa (Nihon University)H-Index: 30
Last. Masatoshi MakuuchiH-Index: 134
view all 10 authors...
OBJECTIVE: To propose an algorithm for resecting hepatocellular carcinoma (HCC) in the caudate lobe. BACKGROUND: Owing to a deep location, resection of HCC originating in the caudate lobe is challenging, but a plausible guideline enabling safe, curable resection remains unknown. METHODS: We developed an algorithm based on sublocation or size of the tumor and liver function to guide the optimal procedure for resecting HCC in the caudate lobe, consisting of 3 portions (Spiegel, process, and caval)...
9 CitationsSource
#1Xiaodan Zhang (SYSU: Sun Yat-sen University)
#2Xuqi He (SYSU: Sun Yat-sen University)H-Index: 3
Last. Rongqin Zheng (SYSU: Sun Yat-sen University)H-Index: 15
view all 7 authors...
We evaluated and compared the treatment effects of the ultrasound-guided percutaneous thermal ablation of hepatocellular carcinoma (HCC) in the caudate lobe with and without fusion imaging (FI) assistance. Twenty-six patients with 28 tumors in the FI group and 8 patients with 8 tumors in the without FI group were included. Although more tumors measured >20 mm in the FI group, the technique efficacy and local tumor progression were similar between the two groups (P=1.00 and P=0.45, respectively)....
Abstract Introduction In 2018, Hepatocellular carcinoma (HCC) was predicted to be the sixth most commonly diagnosed cancer. Extra-hepatic metastasis due to HCC is a poor prognostic factor, depending on the stage of the disease. Presentation of case We report a case of a 52-years old male who had undergone Segment 5 (S5) hepatectomy for HCC of 4.7 × 2 cm. Transcatheter arterial chemoembolization (TACE) four times postoperatively was performed based on a preoperative diagnosis of a recurrent tumou...