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胆囊静脉是如何回流的?--临床解剖学研究
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作者 丁冉 郑雪峰 +1 位作者 丁自海 吴涛 《中国临床解剖学杂志》 CSCD 北大核心 2023年第3期249-253,共5页
目的探讨胆囊静脉的回流模式和注入部位,为了解胆囊癌血管转移途径和腹腔镜胆囊切除术提供解剖学基础。方法新鲜成人肝和胆囊标本32例,制成肝门静脉和胆囊静脉铸型标本。计数胆囊静脉属支和分支的数目,测量其直径。观察胆囊静脉的回流... 目的探讨胆囊静脉的回流模式和注入部位,为了解胆囊癌血管转移途径和腹腔镜胆囊切除术提供解剖学基础。方法新鲜成人肝和胆囊标本32例,制成肝门静脉和胆囊静脉铸型标本。计数胆囊静脉属支和分支的数目,测量其直径。观察胆囊静脉的回流模式和注入肝门静脉的部位。结果胆囊有胆囊静脉2~4支,长1.6 cm(1.1~2.1 cm),中部直径3.1 mm(2.4~4.1 mm)。胆囊静脉属支有3支(2~5支),末端直径1.6 mm(0.8~2.8 mm);胆囊静脉分支有4支(3~5支),起始处直径1.5 mm(0.8~2.2 mm)。胆囊静脉左、右侧各1支的有10例,各2支的有8例;左侧1支、右侧2支的有6例,左侧2支、右侧1支的有7例,左侧3支、右侧1支的有1例。在胆囊体和底部起始的细小静脉与胆囊动脉分支伴行,向胆囊两侧走行,汇合成2~5支胆囊静脉属支,在近胆囊床边缘处汇合为胆囊静脉。而后胆囊静脉分出3~5支分支,走行5~8 mm后与肝门静脉右支的第3~5级分支吻合。胆囊床底部有3~5支细小胆囊静脉直接与肝门静脉右支的细小分支吻合。胆囊颈部和胆囊管的静脉与胆总管静脉或肝总管静脉汇合,上行注入肝门静脉左支或右支。结论胆囊体和底部的静脉以胆囊门静脉的模式与肝门静脉右支的分支吻合,即首先以胆囊毛细血管静脉端汇合为小静脉,各属支进而汇合为数支胆囊静脉,而后胆囊静脉分出数支分支,与肝门静脉右支的第3~5级分支吻合。 展开更多
关键词 胆囊静脉回流 胆囊门静脉 临床解剖学 血管铸型 胆囊癌血管转移
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True left-sided gallbladder with variations of bile duct and cholecystic vein
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作者 Hiromichi Ishii Akinori Noguchi +9 位作者 Mie Onishi Koji Takao Takahiro Maruyama Hiroaki Taiyoh Yasunobu Araki Takeshi Shimizu Hiroyuki Izumi Naoki Tani Masahide Yamaguchi Tetsuro Yamane 《World Journal of Gastroenterology》 SCIE CAS 2015年第21期6754-6758,共5页
A left-sided gallbladder without a right-sided round ligament,which is called a true left-sided gallbladder,is extremely rare.A 71-year-old woman was referred to our hospital due to a gallbladder polyp.Computed tomogr... A left-sided gallbladder without a right-sided round ligament,which is called a true left-sided gallbladder,is extremely rare.A 71-year-old woman was referred to our hospital due to a gallbladder polyp.Computed tomography(CT) revealed not only a gallbladder polyp but also the gallbladder located to the left of the round ligament connected to the left umbilical portion.CT portography revealed that the main portal vein diverged into the right posterior portal vein and the common trunk of the left portal vein and right anterior portal vein.CT cholangiography revealed that the infraportal bile duct of segment 2 joined the common bile duct.Laparoscopic cholecystectomy was performed for a gallbladder polyp,and the intraoperative finding showed that the cholecystic veins joined the round ligament.A true left-sided gallbladder is closely associated with several anomalies; therefore,surgeons encountering a true left-sided gallbladder should be aware of the potential for these anomalies. 展开更多
关键词 TRUE left-sided GALLBLADDER Infraportal bileduct of segment 2 ANOMALY of the cholecystic vein ANOMALY of the portal vein LAPAROSCOPIC cholecystECTOMY
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