肝圆韧带重建门静脉/肠系膜上静脉的可行性探讨  

Feasibility study on reconstruction of portal vein/superior mesenteric vein using ligmentum teres hepatis

作　　者：陈强谱[1] 欧琨[1] 管清海[1] 张帆[1] 林绪涛[1] 

机构地区：[1]滨州医学院附属医院,山东滨州256603

出　　处：《山东医药》2006年第36期7-8,共2页Shandong Medical Journal

基　　金：山东省医药卫生科技发展计划项目(2005HW005)

摘　　要：目的探讨肝圆韧带重建门静脉／肠系膜上静脉的可行性。方法对4例实施胰十二指肠联合门静脉／肠系膜上静脉切除的患者．手术中用肝圆韧带重建切除的静脉。结果静脉切除长度3．5～6．5cm．重建切除静脉时利用肝圆韧带长度4．0～7．0cm，术中门静脉阻断时间30～126min，无手术死亡者。术后随访10～39个月。门静脉／肠系膜上静脉通畅，无血栓形成。结论在胰十二指肠联合门静脉／肠系膜上静脉切除术中利用肝圆韧带重建切除的静脉是可行的。[Objective] To evaluate the feasibility of the reconstruction of portal vein/superior mesenteric vein using the ligmentum teres hepatic. [Methods] The data of 4 cases with portal vein/superior mesenteric vein reconstruction using the ligmentum teres hepatis were analyzed retrospectively. [Results] The length of vascular resection was 3. 5 cm to 6.5 era. The length of ligment teres hepatis used during operation was 4.0 to 7. 0 cm. The portal vein clamping time during the interposition grafting ranged from 30 to 126 min. No patient died in operation. The follow-up time was 10 to 39 months . The graft of ligment teres hepatis had no thrombosis and kept unblocked [Conclusion] Portal vein/superior mesenteric vein reconstruction using the ligment teres hepatis during the pancreatoduodenectomy combined with vascular resection is a feasibility method.

关 键 词：胰十二指肠切除术 肝圆韧带 门静脉 肠系膜上静脉 静脉重建 

分 类 号：R576[医药卫生—消化系统]