肝后下腔静脉间隙的解剖与临床应用  

Anatomy and clinical application of retrohepatic tunnel

作　　者：李森[1] 李加起[1] 丁维宝[1] 李春友[1] 杜福田[1] 庄冠一[1] 丁伟[1] 宋钦华[1] 

机构地区：[1]潍坊市人民医院肝胆,血管外科,山东省261041

出　　处：《中华肝胆外科杂志》2006年第12期835-837,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨肝后下腔静脉前间隙的解剖基础及其在肝脏外科的临床应用价值。方法对10例尸肝(包括完整的下腔静脉)进行解剖,测量肝后下腔静脉前间隙的相关解剖数据。经肝后下腔静脉前间隙入路行6例巨大肝癌、血管瘤切除及1例背驮式肝移植病肝切除。结果肝上静脉窝内肝静脉间的距离平均为(16．75±3．93)mm。肝后下腔静脉前间隙的长度平均为(57．76±9．65)mm。肝后下腔静脉前间隙的宽度平均为(9．17±2．30)mm。7例手术均取得成功无相关并发症发生,与其它手术入路相比有显著意义。结论肝后下腔静脉前间隙有其解剖基础,在肝脏外科中可作为一良好的手术入路。Objective To study the existence and clinical value of the tunnel between the retrohepar and the anterior surface of the retrohepatic portion of IVC, Methods Ten carcases containing the whole IVC were anatomized and the data of the tunnel were analyzed, Liver hanging tape was successfully placed in 6 difficult hepatectomies and 1 liver dissecting in the piggyback liver transplantation. Results The average width and length of the tunnel were16, 75 ± 3.93 mm and 57. 76 ± 9.65 mm, respectively. The average shortest width between the short hepatic vein was 9.71±2. 30 mm. The operations in 6 difficult hepatectomies and 1 liver dissecting in the piggyback liver transplantation were successfully performed and there was no complication related to the maneuver. Conclusions The retrohepatic tunnel exactly exists and it is of great value in the difficult hepatectomy, caudate lobectomy and the liver dissecting in piggyback liver transplantation.

关 键 词：解剖学 局部 肝后下腔静脉前间隙 临床应用 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]