Venous segmentation of the human spleen. A corrosion cast study.
Partial splenectomy is possible because of vascular segmentation of this organ. Although interest has focused upon arterial supply, this study shows similar venous segmentation. Emerging splenic veins in excess of 1.7 mm at the hilum of ten unembalmed spleens were injected with different colors of modified Batson's compound, and corrosion casts were made. In four additional spleens, alternate veins and arteries were injected. Ten spleens had two primary segments (lobes); four had three lobes. Half of these lobes were further subdivided into two segments. Lobes and segments extended through the full thickness of the spleen. Relatively avascular interlobar planes were always approximately perpendicular to the longitudinal axis of the spleen, whereas intersegmental planes were more variable. Both interlobar and intersegmental planes frequently corresponded to marginal notches. When arteries and veins were both injected, similar segmentation was noted. Venous drainage did not overlap arterial segments, indicating that veins are intrasegmental. These results indicate that the surgical unit of the spleen can be based upon surgically accessible vessels at the hilum of the spleen. Identification of segmental vessels could permit salvage of a larger amount of splenic tissue than would be possible if only lobar vessels were identified.
Dawson
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Molina
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Scott-Conner
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D000328:Adult; D000368:Aged; D004396:Coloring Agents; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D013154:Spleen / Q000098:blood supply*; D013156:Splenectomy / Q000379:methods; D013157:Splenic Artery / Q000033:anatomy & histology*; D013162:Splenic Vein / Q000033:anatomy & histology*
D004396:Coloring Agents