肠系膜上血管及其属支临床解剖研究

发布时间：2018-03-09 19:13

本文选题：右半结肠切除术　切入点：血管解剖　出处：《中国实用外科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的观察分析腹腔镜手术肠系膜上血管主干和属支在十二指肠胰头区域的解剖情况。方法选择2016年7月至2017年1月北京协和医院基本外科收治的共27例腹腔镜右半结肠癌完整结肠系膜切除(CME)病人,观察回结肠血管、右结肠血管、中结肠血管的动静脉出现率和毗邻关系,以及胃结肠干的出现率和属支情况。结果术中观察发现,回结肠血管出现率为100%,右结肠动脉、静脉的出现率分别为33.3%和11.1%,中结肠动脉、静脉的出现率分别为88.9%和92.6%。中结肠动脉的长度为1.9(0~7.2)cm。胃结肠干的出现率为92.6%;由2~5支属支汇合而成;主干的长度为0.8(0.2~2.4)cm。结论回结肠血管出现率高,可以做为手术解剖的首要步骤;肠系膜上血管在十二指肠胰头区域的解剖结构复杂,术者应该充分了解该区域解剖关系。
[Abstract]:Objective To observe and analyze the laparoscopic surgery of superior mesenteric vascular anatomy in the trunk and branches of duodenum and pancreatic head area. Methods from July 2016 to January 2017 in Peking Union Medical College Hospital from a total of 27 cases of laparoscopic colorectal cancer complete mesocolic excision (CME) patients, observe the ileocolic vessels, right colic vessels, and adjacent moving rate the veins in the colon vessels, and the occurrence rate of gastrocolic trunk and branches. The results of intraoperative observation, ileocolic vessels occurred in 100%, right colic artery, vein occurrence rate were 33.3% and 11.1%, colonic artery, vein respectively for 88.9% and 92.6%. in colonic artery length 1.9 (0~7.2) cm. gastrocolic trunk the occurrence rate was 92.6%; by the 2~5 branch branches converging; trunk length is 0.8 (0.2~2.4) cm. conclusion ileocolon vascular rate is high, can be used as a surgical solution The first step of the caesarean section; the anatomy of the superior mesenteric vessels in the duodenum and the head of the pancreas is complex, and the surgeon should fully understand the anatomy of the region.

【作者单位】：北京协和医学院中国医学科学院北京协和医院基本外科;
【分类号】：R735.35

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