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Case Reports in Surgery
Volume 2013 (2013), Article ID 371264, 3 pages
Case Report

Inferior Right Hepatic Vein: A Useful Anatomic Variation for Isolated Resection of Segment VIII

Hepatobiliary Surgery Unit, Bonsucesso Federal Hospital—Health Ministry, Av. Londres, 616, prédio 3/2° andar, 21041-030 Rio de Janeiro, RJ, Brazil

Received 24 June 2013; Accepted 24 July 2013

Academic Editors: F. Catena, T. Çolak, and Y.-B. Tang

Copyright © 2013 Klaus Steinbrück et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Anatomical resection of segment VIII (SVIII) is one of the most difficult hepatectomies to perform. Although it is the best choice of surgical treatment for tumors located at SVIII, its feasibility can be compromised when the right hepatic vein (RHV) must be resected en bloc with SVIII. Herein we describe a case of a cirrhotic patient that was submitted to segmentectomy VIII in bloc with the main trunk of the RHV, due to hepatocellular carcinoma. The resection could only be performed because a well developed inferior right hepatic vein (IRHV) was present. Anatomical variations of the liver vascularization should be used by liver surgeons to improve surgical results.