Balzer K M, Witte H, Recknagel S, Kozianka J, Waleczek H
Department of Anatomy, Ruhr-Universität Bochum, Germany.
Surg Radiol Anat. 1999;21(2):87-9. doi: 10.1007/s00276-999-0087-9.
A knowledge of the parietal structures of the abdominal wall is necessary to minimize risks of operative procedures like laparoscopy. For means to prevent intraoperative bleeding and the occurrence of abdominal wall hematoma, we studied the course of the inferior epigastric arteries and the ascending branch of the deep circumflex iliac artery in 21 human cadavers. The abdominal wall structures were dissected and the distances of the arteries in relation to anatomic structures such as the umbilicus, pubic symphysis, superior ischial spine and lower edge of the rib-cage were measured. Comparison of the morphometric results obtained with the location of 36 trocar incision sites recommended in the common literature yields the information that about half of these incision sites incur the risk of injuring the arteries.
了解腹壁的壁层结构对于将腹腔镜检查等手术操作的风险降至最低是必要的。为了预防术中出血和腹壁血肿的发生，我们在21具人类尸体上研究了腹壁下动脉和旋髂深动脉升支的走行。解剖腹壁结构并测量动脉与脐、耻骨联合、坐骨棘和胸廓下缘等解剖结构的距离。将获得的形态学测量结果与常见文献中推荐的36个套管针切口部位的位置进行比较，结果表明这些切口部位中约有一半有损伤动脉的风险。
