膜解剖在肝胆胰脾外科的应用进展和现状  

Application of membrane anatomy in hepatopancreatobiliary and splenic surgery

作　　者：彭淑牖[1] 金赟[1] 李江涛[1] 于源泉[1] 蔡秀军[2] 洪德飞[2] 梁霄[2] 刘颖斌 王许安 Peng Shuyou;Jin Yun;Li Jiangtao;Yu Yuanquan;Cai Xiujun;Hong Defei;Liang Xiao;Liu Yingbin;Wang Xu′an(Department of hepatopancreatobiliary Surgery,Second Affiliated Hospital,Zhejiang University College of Medicine,Hangzhou 310009,China;Department of General Surgery,Zhejiang University,School of Medicine,Sir Run Run Shaw Hospital,Hangzhou 310016,China;Department of Biliary-Pancreatic Surgery,Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)

机构地区：[1]浙江大学医学院附属第二医院肝胆胰外科,杭州310009 [2]浙江大学医学院附属邵逸夫医院普外科,杭州310016 [3]上海交通大学医学院附属仁济医院胆胰外科,上海200092

出　　处：《中华外科杂志》2023年第7期535-539,共5页Chinese Journal of Surgery

基　　金：国家自然科学基金(91940305,82172599);浙江省自然科学基金(LQ21H030005);福建省科技重大专项(2021YZ036017);浙江大学医学院附属第二医院多中心RCT项目(肝内胆管细胞癌区域淋巴清扫的前瞻性、多中心、随机对照临床研究)。

摘　　要：各种膜性结构遍布人体全身,认识和了解这些膜性结构对外科医师具有重要意义。近年来随着膜学说的兴起,膜解剖在腹部肿瘤特别是胃肠道肿瘤的治疗中得到广泛认可。临床实践中根据需要合理选择膜内或膜外解剖,能更好地实现精准手术。本文结合现阶段研究成果,综述膜解剖在肝胆胰脾外科领域的应用现状和进展,希望能为临床研究提供思路。Understanding of a variety of membranous structures throughout the body,such as the fascia,the serous membrane,is of great importance to surgeons.This is especially valuable in abdominal surgery.With the rise of membrane theory in recent years,membrane anatomy has been widely recognized in the treatment of abdominal tumors,especially of gastrointestinal tumors.In clinical practice.The appropriate choice of intramembranous or extramembranous anatomy is appropriate to achieve precision surgery.Based on the current research results,this article described the application of membrane anatomy in the field of hepatobiliary surgery,pancreatic surgery,and splenic surgery,with the aim of blazed the path from modest beginnings.

关 键 词：外科手术 解剖学 膜解剖 肝胆胰脾外科 系膜 精准手术 

分 类 号：R656[医药卫生—外科学]