Segmental nature of the porcine liver and its potential as a model for experimental partial hepatectomy

Author:

Court F G1,Wemyss-Holden S A1,Morrison C P1,Teague B D1,Laws P E1,Kew J2,Dennison A R3,Maddern G J1

Affiliation:

1. University of Adelaide Department of Surgery, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia

2. Department of Radiology, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia

3. Department of Surgery, Leicester General Hospital, Leicester, UK

Abstract

Abstract Background In-depth knowledge of pig liver anatomy allows potential research into segmental liver resections and hepatic regeneration, as well as liver transplantation techniques. The segmental anatomy, however, remains largely unknown. This study aimed to delineate the segmental anatomy of the porcine liver in comparison with that of the human. Methods The segmental anatomy of the porcine liver was determined using acrylic injection casting of ex vivo pig livers, allowing the arterial, venous and biliary supply to be visualized directly. This was correlated using multi-slice computed tomography (CT) and three-dimensional reconstructions. Results Although the external morphology of the porcine liver differs from that of the human, the segmental anatomy is remarkably similar in term of its vascularity and biliary tree. Conclusion Acrylic casting of the porcine liver accurately delineates the vascular and biliary anatomy, and is a useful tool for performing experimental liver surgery. The similarities between porcine and human segmental anatomy allow domestic swine to be used as a comparable model. Three-dimensional CT reconstructions can also accurately visualize the anatomy and may be used to perform virtual surgery, or to assess segmental volumes.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference8 articles.

1. Intrahepatic vascular division in the pig: basis for partial hepatectomies;Camprodon;Arch Surg,1977

2. Segmental organization of the pig liver: anatomical basis of controlled partition for experimental grafting;Filipponi;Eur Surg Res,1995

3. The bilaterality of the liver;McIndoe;Arch Surg,1927

4. Anatomy of the biliary ducts within the human liver. Analysis of the prevailing pattern of branchings and the major variations of the biliary ducts;Healey;AMA Archives of Surgery,1953

5. Lobes de segments hepatiques: notes sur l'architecture anatomique et chirurgicale du foie;Couinaud;Presse Med,1954

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