胃结肠静脉干的分型与变异及其在结肠癌手术中的意义  

Variations and subtypes of gastrocolic trunk and its significance in colon cancer surgery

作　　者：边洲亮 顾磊[1] 蒋春晖[1] Bian Zhouliang;Gu Lei;Jiang Chunhui(Department of Gastrointestinal Surgery,Renji Hospital,School of Medicine,Shanghai Jiao Tong University)

机构地区：[1]上海交通大学医学院附属仁济医院胃肠外科,200127

出　　处：《国际外科学杂志》2019年第12期861-864,共4页International Journal of Surgery

摘　　要：随着右半结肠癌根治术规范化程度的提高,对于保持系膜完整,血管根部结扎,扩大淋巴结清扫面积的高要求,防范手术中可能存在的各类手术并发症得到了越来越多的重视,尤其是胃结肠静脉干(GTH)所在区域,因其属支变异程度大,血管走行复杂,更是成为手术成功与否的重要影响因素。本文就GTH的解剖结构及其对于手术方式选择的作用进行综述。With the increasing standardization of right colon cancer radical resection,more emphasis is put on keeping the mesentery intact along with vascular root ligation and extensive lymph nodes dissection which inevitably demands higher level of surveillance on the possible complications especially around gastrocolic trunk with large variation of tributary and complex vascular course,to achieve a successful surgical and oncological outcome.This article discusses the complex anatomy of the gastrocolic trunk and its implication in the choice of surgical approaches.

关 键 词：结肠肿瘤 外科手术 综述 Henle干 

分 类 号：R73[医药卫生—肿瘤]