摘要
目的:探讨肝后间隙的解剖基础及其在肝脏外科的临床应用。方法:对36例尸肝进行解剖,测量肝后间隙的相关解剖数据。经肝后间隙入路行11例巨大肝癌、8例血管瘤切除。结果:肝后间隙的长度平均为(55.43±9.65)mm,肝后间隙上口(膈面)的宽度平均为(20.04±6.88)mm,肝后间隙下口(脏面)的宽度平均为(18.17±5.23)mm。19例手术均取得成功,无相关并发症发生,与其手术入路相比有显著意义。结论:肝后间隙有其解剖基础,在肝脏外科中可作为一良好的手术入路。
Objective：To study the existence and clinical value of the tunnel between the retrohepar and the anterior surface of the retrohepatic portion of inferior vena cava（IVC）.Methods：36 carcasses containing the whole IVC were anatomized and the data of the tunnel were analyzed.Liver hanging tape was successfully placed in 11 difficult hepatectomies and 8 liver dissecting in the piggyback liver transplantation.Results：The average width and length of the tunnel were（20.04±6.88） mm and（55.43±9.65） mm,respectively.The average shortest width between the short hepatic vein was（18.17±5.23） mm.The operations in 19 difficult hepatectomies and 1 liver dissecting in the piggybaek liver transplantation were successfully performed and there was no complication related to the maneuver.Conclusions：The retrohepatic tunnel exactly exists and it is of great value in the difficult hepatectomy,caudate lobectomy and the liver dissecting in piggyback liver transplantation.
出处
《赣南医学院学报》
2011年第3期343-344,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
基金
国家科技支撑计划课题基金(2006BAI05A06)
关键词
解剖学
肝后间隙
临床应用
anatomy
retrohepatic tunnel
anatomy and clinical application
