摘要
成功地对１例原发性胆汁性肝硬变患者作了背驮式肝移植术，并对１７例死前无肝病的成人尸体的第三肝门肝短静脉和第二肝门各条肝静脉作了局部解剖学研究。结果发现：肝短静脉大部分集中在肝后下腔静脉的中、下段，左、中、右肝静脉的主干长分别为２２．８±８．８０ｍｍ、５０．９８±２３．９４ｍｍ和２２．８０±９．５０ｍｍ，管径分别为１０．７４±２．８６ｍｍ、９．５０±３．７５ｍｍ和１５．６０±４．０５ｍｍ。右肝静脉主要以单独１支形式注入下腔静脉；中肝静脉和左肝静脉分３种形式注入下腔静脉：①汇合成１ｃｍ以上的主干后注入下腔静脉；②汇合后立即注入下腔静脉；③分别单独注入下腔静脉。右、中肝静脉之间距离为７～２３ｍｍ。
Piggyback allogeneic orthotopic liver transplantation was performed successfully in a patient with primary biliary cirrhosis on July 26,1996. Topographic study of hepatic veins and short hepatic veins were made in 17 adult cadavers. The majority of short hepatic veins were found in the middle and lower portion of inferior vena cava (IVC) behind liver, but two of 17 cases had a big accessory middle hepatic vein and the right hepatic vein (1 case) divided four branchs into IVC in the area. The lengths of the main trunk of left, middle and right hepatic vein were 22.8±8.80 mm, 50.98±23.94 mm and 22.80±9.50 mm and the diameters were 10.74±2.86 mm, 9.50±3.75 mm and 15.60±4.05 mm respectively. The right hepatic vein in all cases, except one drained into IVC as one vessel. The middle and left hepatic vein drained into IVC in different forms: ①joining as one vessel longer than 1cm before entering IVC (23.5%);②joining right before entering IVC (70.6%); ③draining into IVC separately (5.9%). The distance between right and middle hepatic vein was 7-23 mm. Topography of hepatic veinous flow related with the technique of piggyback operation and removing of diseased liver is discussed.
出处
《中国普外基础与临床杂志》
CAS
1998年第4期217-219,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
局部解剖学
背驮式肝移植术
肝静脉
Topography Piggyback operation in liver transplantation Hepatic vein
