左肝管全程剖开胆肠吻合术的应用解剖学研究

• 作 者: 曾志诚 王渺 杨科球 胡建光 方传昆 刘浔阳 汤辉焕 张成裕 欧阳植庭 吴启辉
• 机 构: 湖南医科大学解剖学教研室,湖南医科大学解剖学教研室,湖南医科大学解剖学教研室,湖南医科大学解剖学教研室,湖南医科大学解剖学教研室,湖南医科大学附属一院外科教研室,湖南医科大学附属一院外科教研室,湖南医
• 出 处: 中国临床解剖学杂志
• 发表日期: 1991年02期
• 关键词: 肝管 左肝动脉 肝动脉 应用解剖学 门静脉左干 胆肠吻合术 肝总管 门静脉 肝圆韧带 左外叶

左肝管全程剖开手术,必须熟悉左肝管与邻近血管的局部解剖关系.为此我们用 ABS 丙酮溶液灌注塑型了6具新鲜成人尸肝脏,解剖40例(成人30,儿童10)肝脏标本,测量了左肝管长度和管径,左肝管与肝总管夹角。全程剖开左肝管与右肝管,并观察左肝管与右肝管、左肝动脉、门静脉左干和肝圆韧带的关系,提出了右肝管全程剖开手术方法和注意事项。

We need to be familiar with the local anatomy of the left hepatic duct and the adjacent blood vessels because of the complete open operation of the left hepatic duct.Therefore, we injected 6 fresh adult corpse liver with ABS acetone solution and dissected the liver of 40 cases (30 adults, 10 children) Specimens were measured left hepatic duct length and diameter, left hepatic duct and hepatic duct angle. The entire left hepatic duct and right hepatic duct were dissected, and the relationship between the left hepatic duct and the right hepatic duct, left hepatic artery, left hepatic portal vein and hepatic rounded ligament was observed. The methods and precautions of the complete hepatic duct dissection were proposed.