摘要
目的探讨供肝修整过程中防止肝动脉损伤的解剖方法。方法回顾性分析2004年8月至2010年11月202例供肝修整过程的资料,总结肝动脉变异情况及防止肝动脉损伤的解剖学方法。结果肝动脉的变异率较高,202例中有21.8%肝动脉变异,5.0%在修整过程中发生肝动脉损伤。结论大多数的变异肝动脉来源于肠系膜上动脉和胃左动脉;肝动脉变异的存在增加了其损伤的危险性,经胃十二指肠动脉入路解剖肝动脉可有效防止肝动脉损伤。
Objective To discuss the experience about preventing hepatic artery injury during hepatic graft repair.Methods From Aug.2004 to Nov.2010,202 patients received liver graft were retrospectively summarized,including the variations of hepatic arteries of the donor livers and the methods of preventing hepatic artery injury.Results The aberration rate of hepatic artery was rather higher.44 out of 202 hepatic arteries varied and 10 were injuried during the repair process.Conclusions Most aberrant liver arteries come from superiormesenteric artery or left gastric artery.The presence of hepatic artery variations increased the risk of injury.The gastroduodenal artery approach may be effective in preventing hepatic artery.
出处
《中国临床解剖学杂志》
CSCD
北大核心
2012年第2期237-238,242,共3页
Chinese Journal of Clinical Anatomy
关键词
肝移植
供肝
修整
肝动脉
解剖变异
Liver graft
Donor liver
Repair
Hepatic artery
Anatomic variation
