肝短静脉的解剖学研究及其在肝脏外科中的临床应用进展

Anatomical research on short hepatic vein and its clinical application in hepatic surgery

目的总结肝短静脉(SHV)的解剖学研究及其在肝脏外科中的临床应用研究进展,为临床治疗主肝静脉病变相关肝脏疾病提供参考。方法在中国知网、万方数据、PubMed、WebofScience等数据库以“肝短静脉”“肝切除”“肝移植”“Budd—Chiari综合征”以及“shorthepaticvein”“hepatectomy”“livertransplantation”“Budd-Chiarisyndrome”为关键词,检索2000年1月-2018年6月国内外有关SHV方面的相关文献资料,并进行汇总分析。结果共检索到文献795篇,按纳入标准和排除标准最终纳入35篇文献,其中中文文献8篇和英文文献27篇。SHV的发现,补充和完善了肝脏的血液回流途径研究。对SHV的精准解剖是预防术后出血和保证肝脏静脉回流的关键步骤,目前已在部分肝段切除、肝移植以及Budd-Chiari综合征等外科治疗中广泛应用。结论熟练掌握SHV的解剖是治疗肝脏血流动力学障碍相关疾病和促进肝脏外科发展的重要基础。

Objective To summarize the advances in the study on the development of hepatic surgery by the application of short hepatic vein ( SHV) . Methods In China Knowledge Network, Wanfang Data and other databases, PubMed, Web of Science, the "肝短静脉" "肝切除" "肝移植""Budd-Chiari综合征" and"short hepatic vein""hepatectomy""liver transplantation"" Budd-Chiari syndrome" were used as key words to search for relevant literatures on SHV from January 2000 to June 2018. The results were summarized and analyzed. Results A total of 795 related literatures were retrieved, and 35 literatures were finally included according to the inclusion and exclusion criteria, including 8 Chinese literatures and 27 English literatures. The discovery of SHV complemented and perfected the reflux pathway of hepatic blood. A large number of studies have confirmed that accurate dissection of SHV is a key step in preventing postoperative bleeding and ensuring hepatic venous reflux. It has been widely used in surgical treatment of partial hepatectomy, liver transplantation and Budd-Chiari syndrome. Conclusions Proficiency in the anatomy of the SHV is an important basis for the treatment of hepatic hemodynamic disorders and the promotion of liver surgery.