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    Liver and Portal Vein: 3 Major 3 Minor Couin 4 Structures

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    prashanth
    The document summarizes the segmental anatomy of the liver based on Couinaud's theory. It describes the major and minor fissures that divide the liver into segments, with the portal vein, hepatic vein, bile duct, and hepatic artery used to identify the segments. The major fissures, including Cantle's line, the falciform ligament, and right fissure are outlined, along with the segments in the right and left functional lobes.

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    Liver and Portal Vein: 3 Major 3 Minor Couin 4 Structures

    Uploaded by

    prashanth
    25 views3 pages
    The document summarizes the segmental anatomy of the liver based on Couinaud's theory. It describes the major and minor fissures that divide the liver into segments, with the portal vein, hepatic vein, bile duct, and hepatic artery used to identify the segments. The major fissures, including Cantle's line, the falciform ligament, and right fissure are outlined, along with the segments in the right and left functional lobes.

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    Anatomy

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    The document summarizes the segmental anatomy of the liver based on Couinaud's theory. It describes the major and minor fissures that divide the liver into segments, with the portal vein, hepatic vein, bile duct, and hepatic artery used to identify the segments. The major fissures, including Cantle's line, the falciform ligament, and right fissure are outlined, along with the segments in the right and left functional lobes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    25 views3 pages

    Liver and Portal Vein: 3 Major 3 Minor Couin 4 Structures

    Uploaded by

    prashanth
    The document summarizes the segmental anatomy of the liver based on Couinaud's theory. It describes the major and minor fissures that divide the liver into segments, with the portal vein, hepatic vein, bile duct, and hepatic artery used to identify the segments. The major fissures, including Cantle's line, the falciform ligament, and right fissure are outlined, along with the segments in the right and left functional lobes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    497

    LIVER AND PORTAL VEIN

    Segmental anatomy of liver

    The liver is functionally divided into segments by 3 major


    and 3 minor fissures.
    The theory of Segmental anatomy of liver was proposed by
    Couinaud.
    He used 2 structures (Portal vein > Hepatic vein) to identify
    these fissures.
    Recently researchers are using 4 structures for
    identification :
    • Portal vein.
    • Hepatic vein.
    • Bile duct.
    • Hepatic artery (least important).
    Major fissures :
    Not visible on the surface of liver.

    Couinaud segments
    Right posterior Right anterior Right medial Left lateral
    section section section section
    Middle hepatic vein
    Right hepatic vein Left hepatic vein

    Portal vein (PV)


    Inferior vena cava (IVC)
    498

    Hepatic veins

    Inferior
    vena cava

    Portal vein

    Gallbladder

    Right lobe
    Hepatic vein

    Bile ducts

    Left lobe

    Falciform ligament

    Hepatic duct
    Gall bladder

    1. Cantle’s line or main fissure :


    • Imaginary line drawn from the groove of inferior
    vena cava to the fossa of gall bladder.
    • Divides the liver into functional right lobe and
    functional left lobe.
    2. Falciform ligament :
    Divides the functional left lobe into left lateral and left
    medial segments.
    3. Right fissure :
    The right fissure subdivides the functional right lobe
    into right anterior and right posterior segments.
    499

    Properties of right and left functional lobe

    Properties Right functional Left functional


    lobe lobe
    Blood supply Right branch of Left branch of
    portal vein. portal vein.
    Right hepatic Left hepatic
    artery. artery.
    Venous drainage Right hepatic Left hepatic vein
    vein to inferior to inferior
    venacava. venacava.
    Bile drainage. Right hepatic Left hepatic
    duct. duct.

    Segments in right functional lobe:


    • 5th segment Right anterior inferior.
    • 6th segment Right posterior inferior.
    • 7th segment Right posterior superior.
    • 8th segment Right anterior superior.

    Segments in left functional lobe :


    • 2nd segment Left lateral superior.
    • 3rd segment Left lateral inferior.
    • 4a segment Left medial superior.
    • 4b segment Left medial inferior.

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