• 1. Dalian Medical University, Dalian, Liaoning 116044, P. R. China;
  • 2. Department of Hepatobiliary and Splenic Surgery, Qingdao Municipal Hospital, Qingdao, Shandong 266011, P. R. China;
XING Xue, Email: xingxue1964@163.com
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Objective To summarize clinical applications of inferior right hepatic vein (IRHV) in liver surgery and to provide a basis for clinical applications of IRHV.Method The relevant literatures about clinical applications of IRHV in liver surgery in recent years were reviewed.Results As a kind of short hepatic veins, the IRHV directly flowed into the inferior vena cava, often accompanied by the portal vein of the segment Ⅵ. The occurrence rate of IRHV was 80%–90% by the autopsy examination, while which was 10%–30% by the imaging examination. The caliber of IRHV was 0.22–0.95 cm, and its caliber was negatively correlated with the caliber of right hepatic vein. The IRHV played a great role in the classification and treatment of the Budd-Chiari syndrome. According to the Couinaud liver classification method, the IRHV mainly drained the blood of segment Ⅵ. The existence of IRHV expanded the indications of hepatectomy. The reconstruction of IRHV in the liver transplantation could not only reserve the function of donor liver, but could compensatively drain the corresponding liver areas if the acute occlusion of other major hepatic veins happened.Conclusions IRHV has some important clinical significances in liver surgery. Fully studying course characters and adjacent relationship of IRHV can not only avoid injury during surgery, but also provide a new treatment idea for related liver diseases.

Citation: YANG Yufei, XING Xue. Advances in clinical application of inferior right hepatic vein in hepatic surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(3): 374-379. doi: 10.7507/1007-9424.201809029 Copy

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