Porta-caval fibrous connections-the lesser-known structure of intrahepatic connective-tissue framework:A unified view of liver extracellular matrix  

作　　者：Leila Patarashvili Salome Gvidiani Elza Azmaipharashvili Keti Tsomaia Marom Sareli Dimitri Kordzaia Ilia Chanukvadze 

机构地区：[1]Department of Clinical Anatomy and Operative Surgery,Ivane Javakhishvili Tbilisi State University,Tbilisi 0159,Georgia [2]Faculty of Medicine,Ivane Javakhishvili Tbilisi State University,Tbilisi 0159,Georgia [3]Clinical Anatomy and Experimental Modeling,Institute of Morphology,Ivane Javakhishvili Tbilisi State University,Tbilisi 0159,Georgia [4]Department of Surgical Oncology(Surgery C),Chaim Sheba Medical Center at HaShomer,Ramat Gan,Tel Aviv 52621,Israel [5]Faculty of Medicine,Tbilisi State Medical University,Tbilsi 0177,Georgia

出　　处：《World Journal of Hepatology》2021年第11期1484-1493,共10页世界肝病学杂志（英文版）（电子版）

摘　　要：Knowledge about the connective-tissue framework of the liver is not systematized,the terminology is inconsistent and some perspectives on the construction of the hepatic matrix components are contradictory.In addition,until the last two decades of the 20th century,the connective-tissue sheaths of the portal tracts and the hepatic veins were considered to be independent from each other in the liver and that they do not make contact with each other.The results of the research carried out by Professor Shalva Toidze and his colleagues started in the 1970s in the Department of Operative Surgery and Topographic Anatomy at the Tbilisi State Medical Institute have changed this perception.In particular,Chanukvadze I showed that in some regions where they intersect with each other,the connective tissue sheaths of the large portal complexes and hepatic veins fuse.The areas of such fusion are called porta-caval fibrous connections(PCFCs).This opinion review aims to promote a systematic understanding of the hepatic connective-tissue skeleton and to demonstrate the hitherto underappreciated PCFC as a genuine structure with high biological and clinical significance.The components of the liver connective-tissue framework—the capsules,plates,sheaths,covers—are described,and their intercommunication is discussed.The analysis of the essence of the PCFC and a description of its various forms are provided.It is also mentioned that analogs of different forms of PCFC are found in different mammals.

关 键 词：Hepatic capsule Hilar plate Perivascular fibrous sheath Glissonean pedicle Portal tract Caval port 

分 类 号：R575[医药卫生—消化系统]