MAIN AND ACCESSORY RETROHEPATIC INFERIOR VENA CAVA OPENINGS - CASE REPORTS
Dr. Dragica Jurkovikj*
ABSTRACT
?wo sciences that have been simultaneously developed are surgical anatomy and anatomical surgery complementing each other. In this context, having in mind the clinical importance of retrohepatic inferior vena cava with its tributaries during many interventional or resective procedures in liver surgery gave us the idea to present these case reports. On 11 cadaveric liver specimens from adults the retrohepatic inferior vena cava was opened longitudinally and then all hepatic vein openings were observed. The hepatic venous outflow was mainly through 2 or 3 large openings into upper part of retrohepatic inferior vena cava involving direct flowing of left superior vein into inferior vena cava. But, in addition to these, on the medium and lower thirds there were openings of medium or small-sized hepatic veins that directly entered the retrohepatic inferior vena cava. Among them there were caudate lobe vein and caudate process vein openings on the left side of the midline, accessory middle right hepatic vein and inferior right hepatic vein openings on the right side of midline and at the anterior wall short hepatic vein openings.
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