Vascular Anatomy of Canine Hepatic Venous System: A Basis for Liver Surgery

Detailed knowledge of the vascular anatomy is important for improving surgical approaches to the liver. Twelve canine livers were skeletonized to describe the anatomy of their portal and hepatic veins in details. Our data suggest that the liver can be divided into two sections, three divisions, seven lobes and two to four sub‐lobes. This differs from the classic division into four lobes, four sub‐lobes and two processes. The right section was perfused by the right portal branch and drained by independent hepatic veins, while most of the left section, perfused by the left portal branch, was drained by the main hepatic vein deriving from the middle and the left hepatic vein confluence. Part of the right medial lobe, and in some cases the papillary process of the caudate lobe, drained directly into the caudal vena cava. A proper right hepatic vein draining blood from more than one lobe was never observed. Portal connections between the quadrate and the left medial lobe were frequently recorded. Two sub‐lobes with different portal blood supply and venous drainage could be identified in the right lateral (33.3% of cases) and the left lateral (100% of cases) lobes. From our results, the classic nomenclature of the liver lobes does not reflect their vascularization. Based on similarities between canine lobes and human segments, a new nomenclature is possible and may be less confounding in surgical settings.     

Gross anatomy of the portal vein and hepatic artery ramifications in dogs: corrosion cast study

The anatomical variations of the portal vein and the hepatic artery ramifications were analysed on liver corrosion casts in 20 dogs as a possible aid in the surgical management of the organ. The portal vein ramified similarly in all dogs. It divided into the smaller right portal branch from which vessels for the caudate process and both right lobes arose and the substantial left portal branch, which supplied the remaining liver portions and in 12 cases also the dorsal part of the right lateral lobe. Right lateral, right medial and left branches are the major arteries originating from the hepatic artery; however, their origin and course varied among individual animals. In 10 livers, the right lateral and the left branches originated from the hepatic artery, while the right medial branch arose from the left branch and usually supplied the right medial lobe solely. In nine livers, the right medial branch arose directly from the hepatic artery and supplied quadrate lobe and gallbladder as well, while in one liver the common artery, which subsequently divided into lobar branches, branched away from the hepatic artery. An additional branch for the caudate process, originating directly from the hepatic artery, was observed in 10 livers. Certain liver portions received the arterial blood from two major branches, which was particularly characteristic for the right medial lobe (six livers) and caudate process (10 livers). The course of the major arterial branches was also variable, although they proceeded in close anatomical relationship with the portal vein branches. The left arterial branch accompanied the left portal branch on its dorsal aspect (15 cases) or crossed it from the caudal aspect (five cases). The right lateral branch crossed the initial parts of the left and right portal branches either from cranial (12 cases) or caudal aspects (eight cases), while the right medial branch always crossed the left portal branch from its caudal aspect.     

On the morphology of the liver in the two-humped camel (Camelus bactrianus)

The liver of a two-humped camel (Camelus bactrianus) was examined by means of gross anatomy and histology. The liver appeared characteristically as an enlarged triangle in visceral aspect, and showed the following lobation: the left lateral and medial lobes, the right lobe, the caudate lobe and the quadrate lobe. These findings were similar to those for the one-humped camel. Histologically, a distinct lobulation, a typical arrangement of the interlobular connective tissue, and the trias was confirmed.     

Blood Flows in Tributaries of the Portal Vein: Anatomical and Angiographic Studies in Normal Beagle Dogs

Liver anatomy, particularly its vascularization, has been investigated in many studies in dogs. Knowledge of blood flow from the main tributaries of the portal vein (PV) is necessary to explain the preferential sites of secondary lesions within the liver based on the site of the initial malignant lesion. How these flows come together was established in an earlier ex vivo study. Here, we highlight in vivo the blood flows from the main PV tributaries and their distribution in the liver of normal dogs. Portographs of the main PV tributaries were obtained in seven dogs after injection of an angiographic contrast medium. After euthanasia, the livers and their portal vascularization (PV and tributaries) were extracted for a comparative corrosion cast study. Flows were demonstrated in the cranial mesenteric vein, caudal mesenteric vein and splenic vein. However, no proper flow could be distinguished for the gastroduodenal and ileocolic veins. All these tributaries primarily supply the lateral liver lobes (right or left). Most of our observations indicate that the cranial mesenteric, caudal mesenteric and splenic veins primarily supply the right lateral lobe and the caudate process of the caudate lobe and secondarily the left lateral lobe, left medial lobe and the quadrate lobe. The two other tributaries (gastroduodenal and ileocolic veins) primarily supply the right lateral lobe and the caudate process of the caudate lobe.     

ULTRASONOGRAPHIC EXAMINATION OF THE CANINE LIVER BASED ON RECOGNITION OF HEPATIC AND PORTAL VEINS

A method for systematic examination of the livers was developed, based on identification of the hepatic and portal veins in sixteen dogs. The right medial, quadrate, left medial and lateral hepatic veins and the hepatic branches of the portal veins were easily located with the dog in dorsal recumbency. The right lateral and caudate hepatic veins were identified more easily from the right side with the transducer positioned between the ninth to the eleventh intercostal spaces. Visibility was affected by the fullness of the stomach but this effect could be minimized by changing the position of the transducer to select a more suitable anatomical approach. Identification of the two systems depended on their echogenicity, the anatomical position of the main branches and their pattern of distribution. As in humans, the portal veins were in general, more echogenic than the hepatic veins and the hepatic veins could be traced from their junctions with the caudal vena cava. Identification of the branches of the hepatic and portal veins was complicated by the anatomical shape, the nutritional status and respiratory stage of the animal. A systemic approach based on a knowledge of the distribution patterns produced by the hepatic and portal veins ensures that all liver lobes are identified and all important structures are assessed.     

Gross Anatomy of the Canine Portal Vein

The gross anatomy of the portal vein of 21 dogs was studied by venous portography, corrosion casting, and gross dissection. The portal vein in all specimens originated by confluence of the cranial and caudal mesenteric veins. Its large tributaries were the splenic and gastroduodenal veins, which entered the portal vein between its origin and the hepatic porta. At the hepatic porta, the portal vein divided into a short right branch and a larger left branch. The right branch ramified in the caudate process of the caudate lobe and in the right lateral lobe of the liver. The left branch was essentially the continuation of the portal vein from which successive branches passed to each of the remaining lobes of the liver and the papillary process of the caudate lobe.     

ANATOMY OF THE PORTAL AND HEPATIC VEINS OF THE DOG: A BASIS FOR SYSTEMATIC EVALUATION OF THE LIVER BY ULTRASONOGRAPHY

The objective of this study was to define, in detail, the anatomy of the portal and hepatic veins in the dog in order to establish a procedure for the systematic evaluation of the liver by ultrasonography. Anatomical details were obtained from the formalin fixed livers of ten dogs. The hepatic and portal veins were removed intact from these livers so that a detailed pattern of distribution could be established and the numbers of branches could be counted. Silastic casts were also made of the hepatic and portal veins of two livers, one in situ and one in which it had been removed. The former was to enable the relationship of the portal to the hepatic veins to be established as closely as possible within the animal and the other to provide a model of the distribution of each venous system within the liver. Contrast medium was infused into two other livers and radiographs taken to establish the relationship of each branch to each lobe. It was found that there was a consistent pattern of venous branching to each lobe of the liver in the dog with little variation between individual specimens. All liver lobes contained definite venous branches so that the left lateral and medial, quadrate, right medial and lateral, caudate and papillary veins could be distinguished in each venous system. We believe that an appreciation of this venous distribution will aid in the systematic evaluation of the liver during ultrasonography by enabling identification of each liver lobe. It should be of value for differentiating portal from hepatic veins and veins from dilated bile ducts.     

Difference in the length of the medial and lateral metacarpal and metatarsal condyles in calves and cows--a post-mortem study

Measurements were taken in the metacarpal and metatarsal bones in 42 calves and 10 dairy cows post-mortem to determine whether there are anatomical differences in bone length. Manual and digital measurements of various bone length parameters were taken. There was a significant difference in the mean length of the condyles of the metacarpal and the metatarsal bones in calves and cows, the lateral condyle being longer than the medial. In all but one metatarsal bone (98.8%), the lateral condyle was longer than the medial. In the metacarpal bones, the lateral condyle was longer in only 52.4% of the bones, in 21.2%, they had the same length and in 27.4% the medial condyle was longer. These intrinsic anatomical differences can help distinguish between the left and right metacarpal and metatarsal bones, for instance, in anatomical and archaeological studies. Knowledge of these differences might be useful for studies on digit function and on the possible predisposition of cattle to claw diseases in the lateral claws of the hind limbs.     

Nuclear scintigraphic assessment of liver size in clinically normal dogs

Measurement of liver size was made on nuclear scintigraphic images obtained from 16 clinically normal, anesthetized dogs in ventral, dorsal, right and left lateral, and left dorsal oblique positions after administration of technetium 99m-sulfur colloid. Linear measurements of liver length and width were made from each scintiscan, and liver surface area was determined by setting a region of interest manually and by use of a computer count of pixels above a minimal intensity (threshold method). All linear measurements had a statistically significant (P less than 0.05) correlation with liver and body weight, with the exception of the measurements of liver width made on dogs in dorsal and left lateral dorsal oblique positions. The highest correlation (r = 0.89) between the scintigraphic measurements and liver weight was the multiplication of measurements of liver width and length from the right lateral view. Although all area determinations were significantly (P less than 0.05) correlated with liver and body weight, for most views, the manual method of determining the region of interest had a slightly better correlation with the liver weight than did the threshold method.     

猪的肝静脉系统

猪的肝静脉系统包括肝大静脉和肝小静脉。肝大静脉主要汇集左内叶、左外叶、右内叶和右外叶的血液，尾状叶的血液主要由肝小静脉回流。左外叶、左内叶和右内叶的血液常有专支汇集，它们是左外叶肝静脉、左内叶肝静脉和右内叶肝静脉；汇集右外叶的静脉有３～４支，可总称为右外叶肝静脉。此外，在相邻２叶之间常有叶间静脉，它们是左叶间肝静脉、肝中静脉和右叶间肝静脉。由于猪的叶间切迹深，左、右叶间肝静脉主要汇集左外叶及右外叶的血液，故可分别归属于左外叶肝静脉和右外叶肝静脉；肝中静脉发达，且恒定存在于中裂内，汇集左内叶和右内叶内侧部的血液。     

Mediolateral hoof balance in relation to the handedness of apprentice farriers

Horses that had been trimmed and shod by apprentice farriers were sourced from the Royal School of Military Engineering, Melton Mowbray (37 horses) and from the Household Cavalry, Knightsbridge (54 horses). The lateral and medial hoof wall angles of both forelimbs were measured using a Ruidoso hoof gauge by the same operator. The difference between the lateral and medial hoof wall angles for each horse was calculated and the results were compared between right-handed and left-handed farriers using the Mann-Whitney U test (P<0.05). There was a significant difference in the mediolateral hoof balance obtained between right-handed and left-handed farriers for each forelimb (P<0.001). Right-handed farriers were shown to create an imbalance in 47 per cent of left forelimbs and 46 per cent of right forelimbs assessed, while left-handed farriers created an imbalance in 41 per cent of left forelimbs and 71 per cent of right forelimbs. The tendency was for right-handed farriers to over-trim the medial (inner) aspect of the left forelimb and the lateral (outer) aspect of the right forelimb; the reverse was demonstrated for left-handed farriers. Performing a risk ratio confirmed these findings.     

Thrombosis of the portal vein in a miniature schnauzer

A miniature schnauzer with a history of apathy, anorexia and jaundice was presented to the Utrecht University Clinic for Companion Animals. Abnormal laboratory findings included highly increased levels of total bile acids and alkaline phosphatase, and hyponatraemia. Abdominal ultrasonography revealed that the right side of the liver was enlarged and the left side was small, together with a thrombus in the portal vein. Biopsies from the right side of the liver demonstrated subacute to chronic active hepatitis, for which the dog was treated with prednisolone (1 mg/kg/day for four weeks). No improvement was observed and the owner requested euthanasia. At necropsy the left lobes of the liver were found to be small and firm, while the right lobes were large and soft. There were two thrombi in the portal vein. Microscopic examination revealed chronic active hepatitis and cirrhosis.     

The Pulmonary Veins of the Pig as an Anatomical Model for the Development of a New Treatment for Atrial Fibrillation

The layout of the porcine atriopulmonary junction and immediately adjacent structures was investigated by gross anatomical and vascular corrosion casting studies to meet the need for more in‐depth anatomical insights when using the pig as an animal model in the development of innovative approaches for surgical cardiac ablation in man. The veins from the right cranial and middle lung lobes drain through a common ostium in the left atrium, whereas a second ostium receives the blood returning from all other lung lobes, although limited variation to this pattern was observed. Surrounding anatomical structures that are most vulnerable to ablation damage as reported in man are located at a safer distance from the pulmonary veins in pigs, yet a certain locations, comparable risks are to be considered. Additionally, it was histologically confirmed that myocardial sleeves extend to over a centimetre in the wall of the pulmonary veins.     

Macroscopic Anatomy of the Lower Respiratory System in Mole rats (Spalax leucodon)

The morphologic and morphometric features of the lower respiratory system in mole rats were examined. It was seen that the low respiratory system of this species leading a special life under highly hypoxic/hypercapnic conditions underground is structurally similar to other mammals living on land in terms of the parts examined; trachea was formed by 29.5 ± 4 oval‐formed cartilaginous tracheals arranged backwards and became gradually more stenotic diameter from cranial to the caudal of the neck. The trachea was separated in two principal bronchus at the fourth thoracal intercostal spatium level. The angle between the two main principal bronchi was 60.5 ± 2.35°. The lung constituted 1.29 ± 0.03% of the body weight and the right lung was heavier than the left lung. Fissura inter‐lobaris was deep and separated the lung lobes wholly, and the right lung was separated in four lobes, whereas the left lung was not separated into the lobes. Also, the medial lobe of the left lung was the lightest lobe.     

Evaluation of radiographic liver size in twenty-seven normal deep-chested dogs

Radiographic liver size was established in 27 clinically normal deep-chested dogs. In addition, the influence on radiographic liver size of technical factors such as positioning, respiratory phase and position of the central X-ray beam was evaluated. Exact measurement was complicated by two facts. First, the outline of the ventral and caudoventral borders of the liver shadow was not clearly delineated in all dogs. Secondly, in some dogs merging of the silhouettes of liver and spleen was present. As a result in only 14 out of 27 dogs used for this study could exact measurements be made. In this group of deep-chested dogs, the liver shadow was better delineated in left lateral recumbency. In left lateral recumbency less merging of the silhouettes of liver and spleen was noticed. Normal radiographic liver length measured on right lateral views made on expiration and expressed as a ratio to the length of the 11 th thoracic vertebra varied between 4·8 and 7·8 with a mean and standard deviation of 6·1 ± 0·8. The length of the liver tip protruding behind the curve of the 12th rib varied between -0·5 and 1·7 with a mean and standard deviation of 0·6 ± 0.7. This great variability in radiographic liver size between normal dogs of the same thoracic conformnation makes it rather difficult to diagnose hepatomegaly in individual cases. No difference in radiographic liver size of statistical significance could be found between right and left lateral recumbency. The respiratory phase during which the radiograph was made was the only factor causing a difference of statistical significance in radiographic liver size. In all dogs the length of the liver tip protruding behind the costal arch was longer on the view made during inspiration.     

Hilar Liver Resection in Dogs

Objective— To describe hepatic vasculobiliary anatomy important to hilar liver lobe resection in the dog.
Study Design— Experimental study.
Animals— Canine cadavers (n=7).
Methods— The vasculobiliary system of 7 fresh canine livers was injected with a polymer. The parenchyma was dissected at the level of the hilus to determine the vascular and biliary supply to each liver lobe, and then macerated with a corrosion preparation. The information gathered was used to describe a surgical approach for hilar liver lobe resection.
Results— Each liver lobe had a single hepatic artery and biliary duct. The location of these structures was consistent, although minor variations existed (dorsal versus ventral to the lobar portal vein) in the left lateral lobe and papillary process in 2 specimens. Most liver lobes (34/49) were supplied by 1 lobar portal vein and drained by 1 lobar hepatic vein (39/49). The location of the portal and hepatic veins was consistent among specimens.
Conclusions— The left division is the most mobile of the liver lobes and each lobe can be removed separately or en bloc. Because of the location of the hepatic veins, the central division is best removed as a single unit. The right lateral lobe can be removed individually or together with the caudate process. The papillary process is removed by itself.
Clinical Relevance— A hilar liver lobectomy technique can provide an alternative approach to conventional procedures for tumors that encroach upon the hilus of the liver.     

Hepatic lobe torsion in 3 dogs and a cat

OBJECTIVE: To describe the clinical features of hepatic lobe torsions in 3 dogs and 1 cat. STUDY DESIGN: Retrospective clinical study. ANIMALS: Three client-owned dogs and 1 client-owned cat. METHODS: Medical records were reviewed, and information regarding signalment, clinical signs, physical-exam findings, diagnostic tests performed, treatment, outcome, and follow-up was retrieved. RESULTS: Clinical signs existed for 4 hours to 1 week before examination. Signs were nonspecific in 2 animals that did not have an obvious cause for the hepatic torsion. These signs consisted of lethargy (2), polyuria/polydypsia (2), and anorexia (1). In the other 2 animals, signs were suggestive of the underlying cause of the hepatic lobe torsion. In 1 dog, the torsion was associated with a traumatic diaphragmatic hernia. The cat had a concurrent hemoabdomen secondary to a ruptured hepatocellular carcinoma. Bloodwork abnormalities were nonspecific. Twisted liver lobes included the left lateral lobe (2), the caudate lobe (1), and the right medial lobe (1). Surgical resection (2) or repositioning (1) of the affected liver lobe was attempted in the 3 dogs, and was successful in 2. CONCLUSION: Hepatic lobe torsion is a rare problem but has been reported in humans, rabbits, dogs, pigs, a cat, and a horse. The left lateral liver lobe is most frequently affected. This condition may be idiopathic or associated with neoplasia or absence of ligamentous support (congenital or traumatic) to the liver. CLINICAL RELEVANCE: Prompt surgical resection or repositioning of the involved liver lobe can lead to a successful outcome, avoiding the deleterious effects of venous obstruction such as thrombosis and subsequent necrosis.     

Biometrical Studies on the Cornea in Some Domestic Animals

The ringed seal ( Phoca hispida ), as well as other seals, exhibit some unique anatomical properties when compared to their terrestrial counterparts. In the ringed seal, the most conspicuous adaptation is the aortic bulb, a large dilatation of the ascending aorta, which is comparable to that found in other seal species and marine mammals. Coronary arteries are similar to those of terrestrial mammals. The branches of the ascending aorta (brachiocephalic trunk, left common carotid artery and left subclavian artery) are similar to those of higher primates and man. The pulmonary trunk originates from the right ventricle near the ventral midline of the thorax. The peculiarities of the venous system are three pulmonary veins, a pericardial venous plexus, a caval sphincter, a hepatic sinus with paired caudal vena cavae and a large extradural venous system. Generally, three pulmonary veins (right, left, middle) empty into the left atrium. The right and left pulmonary veins drain the cranial and middle lung lobes of their respective lung, while the middle pulmonary vein drains both caudal lung lobes and the accessory lobe. The pericardial venous plexus lies on the pericardial pleura on the auricular (ventral) surface the heart. The azygous vein is formed from the union of right and left azygous veins near the 5th thoracic vertebra. The caval sphincter surrounds the caudal vena cava as it passes through the diaphragm. Caudal to the diaphragm, the vena cava is dilated excessively (the hepatic sinus) and near the kidneys it is biphid. Cardiovascular physiological studies have shown some of these anatomical variations, especially of the venous system and the ascending aorta, to be modifications for diving.     

Venous hepatic segmentation in dogs (Canis lupus familiaris—L. 1758)

The external shape of the liver is varied and determines specific vascular arrangements. This morphological relationship is important to establish hepatic segmentation in different species submitted to surgeries that aim to preserve a larger area of liver parenchyma. After observing 60 livers injected with Neoprene Latex and three plastic moulds obtained by corrosion, eight hepatic venous segments were identified, drained by six hepatic veins agrouped into segmental veins, which drained one sector (segments I, VI, VII and VIII) and intersegmental veins, which drained more than one sector (segments II/III and IV/V). They were described as follows: left intersegmental vein, formed by a segmental vein from the papillary process (segment I), two to three lateral left segmental veins that drained the segment II, and one to five left paramedian segmental veins that drained the segment III; sagittal intersegmental vein, formed by the confluence between segmental vein of the quadrate lobe (segment IV) and the medial right paramedian segmental vein, which derived from the segment V; lateral right paramedian vein drained the dorsocranial sector of the segment VI; the lateral right segmental vein, formed by one to four vessels that drained segment VII, and the segmental vein of the caudate process, which drained the segment VIII. Understanding the number and disposition of the hepatic veins in lobate livers is essential to reduce bleeding risks in surgeries. The nomenclature based on segmentation analogy of non-lobate liver could be less confusing and, therefore, be more useful in the surgical approaches of lobate livers.     

家禽肝门静脉系统

以铸型方法观察了家禽肝门静脉的分支。其中，鸡有左、右肝门静脉各１支，左叶有左外叶颅侧支、左外叶尾侧支和左内叶支，右叶有右叶颅侧支及右叶尾侧支；鹅、鸭则有左肝门静脉２支，右肝门静脉１支。左叶有左外叶颅侧支和左外叶尾侧支，右叶有右叶颅侧支和尾侧支。左、右肝门静脉于横部汇集，并向颅侧及尾侧发出许多分支。此外，还强调和讨论了家禽肝门静脉系统在分布上的一些特点