有关右叶部分肝移植的胆管临床应用解剖

Applied anatomy of bill ducts for right liver lobe partial transplantation

目的 :研究胆管的临床应用解剖 ,为右叶部分肝移植提供解剖基础。方法 :在 88个铸型标本中对胆管的分布、走行、汇合方式、分型中所占的比例、涉及右叶肝移植的胆管大小等内容作观察。结果 :有 47个标本清楚显示胆管 ,A型占 76.6% ;B型占 8.5 % ;C型占 2 .1 % ;D型占 1 0 .6% ;无E型 ;F型占 2 .1 %。胆管的分型中A型远较国外高 ,E型、C型远比国外低。结论 :本组结果有利于右叶部分肝移植 。

Objective: To study the applied anatomy of bile ducts for right liver lobe partial transplantion.Methods: The courses,distribution,and bile ducts type related to right lobe parial transplantation were observed on 88 corrosion casts.Results: The bile ducts were shown in 47 of the 88 corrosion casts.The rates of different types were as follows:type A 76.6%,type B 8.5%,type C 2.1%,type D 10.6%,type E 0% and type F 2.1%.The number of type A was more than that the number reported abroad (P<0.01),while the numbers of type E and type C were less than the numbers reported abroad (P<0.01).Conclusion:There are more type A and less type E in our cases than that in reported abroad. These facts may be more fit for right lobe partial liver transplantation and seem to hint that Chinese are more suitable for right lobe liver transplantation.