肝动脉解剖学变异在肝脏手术中的分布及意义

Distribution and significance of hepatic artery variation in liver surgery

目的了解肝动脉的解剖变异特点,指导手术过程,减少肝动脉损伤发生率,减少手术并发症。方法回顾性分析近5年在揭阳市人民医院院行肝脏手术的患者资料,统计肝动脉发生变异的情况。结果278例患者中肝动脉正常229例,肝动脉发生变异49例。结论肝动脉变异发生率高,且种类复杂繁多,术前了解肝动脉变异情况,制定手术方案,可减少肝动脉术中损伤,有重要意义。

Objective To investigate the anatomical variations of hepatic artery,to direct the operation,to reduce the incidence of hepatic artery injury and surgical complications.Methods A retrospectively analyze the data of patients who underwent liver operation in Jieyang People's Hospital in recent 5 years,and analyze the variations of hepatic artery.Results There were 229 cases with normal anatomical structure of hepatic artery and 49 cases with anatomical variations of hepatic artery in 278 patients.Conclusion The variations of hepatic artery are common and complex.Hepatic arterial injury can be significantly reduced by increased familiarity with the variation of hepatic artery and making a plan before operation.