摘要
肠系膜上动脉和肠系膜下动脉间的吻合血管, 对维持结肠术后吻合口和残留结肠的血供具有重要意义。然而当前吻合血管的研究正面临命名混乱、数据变异大、研究方法多样和信息记录不完整四大困境。边缘动脉的存在已被广泛证实, 对血供代偿的意义也得到相关研究者的充分认可;反观Riolan弓, 随着历史发展, 其内涵不断改变, 已无法准确指代特定结构。建议摒弃Riolan弓等引起较多争议的名称, 选择合适的研究方法并详细记录吻合动脉的细节, 以提高不同研究结果间的可比性。研究吻合血管的意义在于帮助发现潜在的血管性疾病、选择合适的手术入路、对术区内血管进行恰当的处理, 为外科精细化操作提供理论基础和实践依据。
The anastomotic vessels between the superior mesenteric artery and the inferior mesenteric artery are vital to maintain the blood supply of the anastomosis and residual colon after colectomy.However,current studies of anastomotic vessels are facing four major obstacles:confusing nomenclature,large variability in data,diversification of research methods and incomplete information records.The existence of marginal artery has been widely proved,and its significance for blood supply is well recognized by relevant studies.In contrast,the Riolan′s arch,whose connotations constantly changed over history,can not refer to a specific structure accurately.Researchers should abolish the controversial names such as Riolan′s arch,select appropriate research methods and record the anastomotic vessels in detail,so as to improve the comparability between different results.The study of anastomotic vessels can help us to identify potential vascular disease,select the appropriate surgical approach,and provide appropriate treatment of the vessels in the operating area,so as to provide a theoretical foundation and practical basis for fine surgical maneuvers.
作者
荆翔湘
赵世栋
叶颖江
申占龙
Jing Xiangxiang;Zhao Shidong;Ye Yingjiang;Shen Zhanlong(Department of Gastroenterological Surgery,Laboratory of Surgical Oncology,Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research,Peking University People′s Hospital,Beijing 100044,China)
出处
《中华外科杂志》
CAS
CSCD
北大核心
2022年第8期736-741,共6页
Chinese Journal of Surgery
关键词
肠系膜上动脉
肠系膜下动脉
吻合血管
边缘动脉
Riolan弓
侧支通路
高位结扎
Mesenteric artery,superior
Mesenteric artery,inferior
Anastomotic vessels
Marginal artery
Riolan′s arch
Collateral pathway
High ligation
