后腹腔镜胰体尾外科手术入路及解剖学标志  

Operational pathway and anatomic landmarks for retroperitoneal laparoscopic distal pancreatic surgery

作　　者：刘兴国[1] 冉凌[2] 吴涛[1] 丁自海[1] 钟世镇[1] 

机构地区：[1]南方医科大学微创外科解剖学研究所,广州510515 [2]兰州军区乌鲁木齐总医院肛肠科,乌鲁木齐830000

出　　处：《解剖学杂志》2007年第1期77-79,共3页Chinese Journal of Anatomy

摘　　要：目的:探讨后腹腔镜胰体尾外科手术入路和解剖学标志。方法:对陈旧及新鲜成人尸体腹部标本进行解剖观测,在对新鲜尸体进行解剖观测前模拟后腹腔镜行胰体尾分离和暴露。第1个trocar位置在左腋中线髂嵴上方2cm交点处插入,第2个trocar在左腋后线第12肋缘下2cm交点处插入,第3个trocar在左腋前线与肋弓下2cm交点处插入。在腹膜后间隙内加压注水制造操作空间。结果:12例全部成功分离出肾旁前间隙。2例模拟操作成功,但在模拟操作过程中均有轻微的后腹膜损伤。完全分离胰体尾后肾旁前间隙内平均能一次性注水1.68L。结论:后腹腔镜胰体尾外科手术经左肾旁前间隙入路是安全可行的,能获得足够的操作空间,且有良好的解剖学标志。Objective： To explore the operational pathway and anatomic landmarks for the retroperitoneal laparoscopic distal pancreatic surgery. Methods： The retroperitoneal space was studied in 10 abdominal specimens fixed by 10% formalin and in 2 fresh cadavers （424 h）, which had been performed retroperitoneal laparoscopic distal pancreatic separation- Results： The anterior pararenal space were fully separated. We succeeded in performing retroperitoneal laparoscopic distal pancreaatic separation. Conclusions： Retroperitoneal laparoscopic distal pancreatic surgery is safe and feasible through the anterior pararenal space, which is large enough to operate and where there are good anatomic landmarks.

关 键 词：后腹腔镜 胰体尾外科手术 手术入路 解剖学 

分 类 号：R322[医药卫生—人体解剖和组织胚胎学]