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肝门癌肿易浸润尾叶,因此手术切除肝门区胆管癌应包括尾叶,以便保证根治病变,这就需要熟悉肝门的解剖.本文报道106具成人尸检的解剖结果,包括96具的园韧带、肝动脉肝内分支、以及胆囊动脉的变异,100具肝动脉和胆管的肝外行程,以及106具的尾叶血管结构等研究.解剖结果: (一)门静脉和园韧带(96例):门静脉在肝门处分为左右支后,右支即有分支至尾叶,并在进入肝组织处分为前后支;左支沿左肝叶下缘行走,组成左横干部分,也有分支至尾叶,由横部形成脐部.
Hilar carcinoma easily infiltrated the caudate lobe, so surgical removal of hilar cholangiocarcinoma should include the caudate lobe, in order to ensure radical treatment, which requires familiar with the anatomy of the hilar.We report 106 adult autopsy results of the dissection, including 96 Ligament of the park, intrahepatic branches of the hepatic artery, variation of the cystic artery, extrahepatic travel of 100 hepatic arteries and bile duct, and caudate lobe vascular structure of 106. Anatomical results: (1) The portal vein and the ligament of the park (96 cases ): The portal vein is divided into left and right branches in the hilar, the right branch has branches to the caudate lobe, and into the liver tissue is divided into anterior and posterior branch; left branch along the lower edge of the left hepatic artery walk, composed of the left transverse part, there are branches to Tail leaf, formed by the horizontal umbilical.