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左肝管全程剖开胆肠吻合术的应用解剖学研究
引用本文:曾志诚,刘浔阳.左肝管全程剖开胆肠吻合术的应用解剖学研究[J].中国临床解剖学杂志,1991,9(2):69-73.
作者姓名:曾志诚  刘浔阳
作者单位: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,湖南医科大学附属一院外科教研室 长沙410078,长沙410078,长沙410078,长沙410078,长沙410078
摘    要: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。

关 键 词:左肝管  左肝动脉  门静脉左干  胆肠吻合术

Applied anatomic study on the whole-lenght opening of the left hepatic duct in bili-intestinal anastomosis
Zheng Zhicheng Wang Miao Yang Keqiu Hu Jianguang Fong ChuanKun.Applied anatomic study on the whole-lenght opening of the left hepatic duct in bili-intestinal anastomosis[J].Chinese Journal of Clinical Anatomy,1991,9(2):69-73.
Authors:Zheng Zhicheng Wang Miao Yang Keqiu Hu Jianguang Fong ChuanKun
Affiliation:Zheng Zhicheng Wang Miao Yang Keqiu Hu Jianguang Fong ChuanKun.Department of Anatomy,Hunan Medical University,Changsa 410078
Abstract:To study the topographic structu-re of the left hepatic duct and the ad-jacent blood vessels for the operationof whole-length opening of the lefthepatic duct,6 adult casting spec-imens and 40 fixed liver specimens(30adults and 10 children)were dissected.The length and inner-diameter of theleft hepatic duct,as well as the anglebetween the left and the common hep-atic ducts were measured.The left andthe right hepatic ducts were cut open.The topographic relationship of theleft hepatic duct with the right hepa-tic duct,the right hepatic artery,theleft trunk of the portal vein and theteres ligament was observed.Some keypoints concerning the operation of wh-ole-length opening of the left hepaticduct were discussed.
Keywords:left hepatic duct  left hepatic artery  left trunk of portal vein  bili-intestinal anastomosis
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