摘要
为适应现代肝胆外科肝内胆道手术技术的需要,选择可行的手术进路,研究新的手术方法。作者观察了30个人肝标本的肝内各叶、段胆管与相应门静脉、肝动脉分支走行、位置的解剖关系。结果表明:肝门胆管、左右肝管及左内叶胆管的显露和切开应从脏面进路。右肝内各叶、段胆管的显露和切开则膈面进路优于脏面进路。上述进路用于临床手术治疗复杂肝内胆管多发结石并多处胆管狭窄35例取得成功。
The authors studied 30 human liver specimens of adults, and observed the position and anatomic relation of each lobal and segental bile duct as well as the portal branches and the hepatic arterial branches. Results showed that the bile duct of the liver hilus, left or right hepatic ducts should be approached via the visceral face of the liver, the right hepatic lobal and segmental ducts were better approached via the diaphragmatic surface of the liver. Above approaches were taken in 35 case for complex intrahepatic multiple stones with multiple lobal and segmental bile duct strictures with success.
