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Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications

INTRODUCTION: The intra-hepatic vascular anatomy in rodents, its variations and corresponding supplying and draining territories in respect to the lobar structure of the liver have not been described. We performed a detailed anatomical imaging study in rats and mice to allow for further refinement o...

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Autores principales: Sänger, Constanze, Schenk, Andrea, Schwen, Lars Ole, Wang, Lei, Gremse, Felix, Zafarnia, Sara, Kiessling, Fabian, Xie, Chichi, Wei, Weiwei, Richter, Beate, Dirsch, Olaf, Dahmen, Uta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664386/
https://www.ncbi.nlm.nih.gov/pubmed/26618494
http://dx.doi.org/10.1371/journal.pone.0141798
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author Sänger, Constanze
Schenk, Andrea
Schwen, Lars Ole
Wang, Lei
Gremse, Felix
Zafarnia, Sara
Kiessling, Fabian
Xie, Chichi
Wei, Weiwei
Richter, Beate
Dirsch, Olaf
Dahmen, Uta
author_facet Sänger, Constanze
Schenk, Andrea
Schwen, Lars Ole
Wang, Lei
Gremse, Felix
Zafarnia, Sara
Kiessling, Fabian
Xie, Chichi
Wei, Weiwei
Richter, Beate
Dirsch, Olaf
Dahmen, Uta
author_sort Sänger, Constanze
collection PubMed
description INTRODUCTION: The intra-hepatic vascular anatomy in rodents, its variations and corresponding supplying and draining territories in respect to the lobar structure of the liver have not been described. We performed a detailed anatomical imaging study in rats and mice to allow for further refinement of experimental surgical approaches. METHODS: LEWIS-Rats and C57Bl/6N-Mice were subjected to ex-vivo imaging using μCT. The image data were used for semi-automated segmentation to extract the hepatic vascular tree as prerequisite for 3D visualization. The underlying vascular anatomy was reconstructed, analysed and used for determining hepatic vascular territories. RESULTS: The four major liver lobes have their own lobar portal supply and hepatic drainage territories. In contrast, the paracaval liver is supplied by various small branches from right and caudate portal veins and drains directly into the vena cava. Variations in hepatic vascular anatomy were observed in terms of branching pattern and distance of branches to each other. The portal vein anatomy is more variable than the hepatic vein anatomy. Surgically relevant variations were primarily observed in portal venous supply. CONCLUSIONS: For the first time the key variations of intrahepatic vascular anatomy in mice and rats and their surgical implications were described. We showed that lobar borders of the liver do not always match vascular territorial borders. These findings are of importance for the design of new surgical procedures and for understanding eventual complications following hepatic surgery.
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spelling pubmed-46643862015-12-10 Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications Sänger, Constanze Schenk, Andrea Schwen, Lars Ole Wang, Lei Gremse, Felix Zafarnia, Sara Kiessling, Fabian Xie, Chichi Wei, Weiwei Richter, Beate Dirsch, Olaf Dahmen, Uta PLoS One Research Article INTRODUCTION: The intra-hepatic vascular anatomy in rodents, its variations and corresponding supplying and draining territories in respect to the lobar structure of the liver have not been described. We performed a detailed anatomical imaging study in rats and mice to allow for further refinement of experimental surgical approaches. METHODS: LEWIS-Rats and C57Bl/6N-Mice were subjected to ex-vivo imaging using μCT. The image data were used for semi-automated segmentation to extract the hepatic vascular tree as prerequisite for 3D visualization. The underlying vascular anatomy was reconstructed, analysed and used for determining hepatic vascular territories. RESULTS: The four major liver lobes have their own lobar portal supply and hepatic drainage territories. In contrast, the paracaval liver is supplied by various small branches from right and caudate portal veins and drains directly into the vena cava. Variations in hepatic vascular anatomy were observed in terms of branching pattern and distance of branches to each other. The portal vein anatomy is more variable than the hepatic vein anatomy. Surgically relevant variations were primarily observed in portal venous supply. CONCLUSIONS: For the first time the key variations of intrahepatic vascular anatomy in mice and rats and their surgical implications were described. We showed that lobar borders of the liver do not always match vascular territorial borders. These findings are of importance for the design of new surgical procedures and for understanding eventual complications following hepatic surgery. Public Library of Science 2015-11-30 /pmc/articles/PMC4664386/ /pubmed/26618494 http://dx.doi.org/10.1371/journal.pone.0141798 Text en © 2015 Sänger et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Sänger, Constanze
Schenk, Andrea
Schwen, Lars Ole
Wang, Lei
Gremse, Felix
Zafarnia, Sara
Kiessling, Fabian
Xie, Chichi
Wei, Weiwei
Richter, Beate
Dirsch, Olaf
Dahmen, Uta
Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title_full Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title_fullStr Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title_full_unstemmed Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title_short Intrahepatic Vascular Anatomy in Rats and Mice—Variations and Surgical Implications
title_sort intrahepatic vascular anatomy in rats and mice—variations and surgical implications
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4664386/
https://www.ncbi.nlm.nih.gov/pubmed/26618494
http://dx.doi.org/10.1371/journal.pone.0141798
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