Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII

Anatomical resection of segment VIII (SVIII) is one of the most difficult hepatectomies to perform. Although it is the best choice of surgical treatment for tumors located at SVIII, its feasibility can be compromised when the right hepatic vein (RHV) must be resected en bloc with SVIII. Herein we de...

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Main Authors: Klaus Steinbrück, Reinaldo Fernandes, Giuliano Bento, Rafael Vasconcelos, Gustavo Stoduto, Thomas Auel, Lúcio F. Pacheco-Moreira
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2013/371264
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author Klaus Steinbrück
Reinaldo Fernandes
Giuliano Bento
Rafael Vasconcelos
Gustavo Stoduto
Thomas Auel
Lúcio F. Pacheco-Moreira
author_facet Klaus Steinbrück
Reinaldo Fernandes
Giuliano Bento
Rafael Vasconcelos
Gustavo Stoduto
Thomas Auel
Lúcio F. Pacheco-Moreira
author_sort Klaus Steinbrück
collection DOAJ
description Anatomical resection of segment VIII (SVIII) is one of the most difficult hepatectomies to perform. Although it is the best choice of surgical treatment for tumors located at SVIII, its feasibility can be compromised when the right hepatic vein (RHV) must be resected en bloc with SVIII. Herein we describe a case of a cirrhotic patient that was submitted to segmentectomy VIII in bloc with the main trunk of the RHV, due to hepatocellular carcinoma. The resection could only be performed because a well developed inferior right hepatic vein (IRHV) was present. Anatomical variations of the liver vascularization should be used by liver surgeons to improve surgical results.
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issn 2090-6900
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series Case Reports in Surgery
spelling doaj-art-9029d637b91b4d3b8df8ea5957b6cf042025-02-03T05:45:34ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/371264371264Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIIIKlaus Steinbrück0Reinaldo Fernandes1Giuliano Bento2Rafael Vasconcelos3Gustavo Stoduto4Thomas Auel5Lúcio F. Pacheco-Moreira6Hepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilHepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, BrazilAnatomical resection of segment VIII (SVIII) is one of the most difficult hepatectomies to perform. Although it is the best choice of surgical treatment for tumors located at SVIII, its feasibility can be compromised when the right hepatic vein (RHV) must be resected en bloc with SVIII. Herein we describe a case of a cirrhotic patient that was submitted to segmentectomy VIII in bloc with the main trunk of the RHV, due to hepatocellular carcinoma. The resection could only be performed because a well developed inferior right hepatic vein (IRHV) was present. Anatomical variations of the liver vascularization should be used by liver surgeons to improve surgical results.http://dx.doi.org/10.1155/2013/371264
spellingShingle Klaus Steinbrück
Reinaldo Fernandes
Giuliano Bento
Rafael Vasconcelos
Gustavo Stoduto
Thomas Auel
Lúcio F. Pacheco-Moreira
Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
Case Reports in Surgery
title Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
title_full Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
title_fullStr Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
title_full_unstemmed Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
title_short Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII
title_sort inferior right hepatic vein a useful anatomic variation for isolated resection of segment viii
url http://dx.doi.org/10.1155/2013/371264
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