Prudius V, Procházka V, Pavlovský Z, Prudius D, Kala Z
1st Surgical Department, St. Anne´s University Hospital, Pekarska 53, 602 00, Brno, Czech Republic.
Surgical Department, The University Hospital Brno, Jihlavská 20, 625 00, Brno, Czech Republic.
Surg Radiol Anat. 2017 Apr;39(4):433-440. doi: 10.1007/s00276-016-1746-2. Epub 2016 Sep 21.
This study is focused on the vascular anatomy of the stomach in relation to the gastric pull-up construction. The vascular anatomy was studied on forty-one human specimens. We find out the differences in blood supplement between anterior and posterior wall. It was maked an review of the main trunk arteries of the stomach. To display the vessels of the stomach we used diaphanoscopy, digital shooting in special mode and micro preparation of the vessels. We find out that left gastric artery gives more branches to the posterior wall and right gastroepiploic artery (RGEA) gives more branches to the anterior wall. But brunches of RGEA are longer on the posterior wall than on the anterior. Also we are offering the new classification of the RGEA related to gastric pull-up construction. This classification based not only on the anatomical shapes of RGEA but on the properties of the flow dynamics through the artery.
本研究聚焦于与胃上提术相关的胃血管解剖。对41例人体标本进行了血管解剖研究。我们发现胃前壁和后壁在血液供应上的差异。对胃的主要动脉干进行了综述。为显示胃血管，我们采用了透照法、特殊模式下的数字摄影以及血管显微标本制备。我们发现，胃左动脉向后壁发出更多分支，胃网膜右动脉（RGEA）向前壁发出更多分支。但胃网膜右动脉的分支在后壁比在前壁更长。此外，我们还提出了与胃上提术相关的胃网膜右动脉新分类。该分类不仅基于胃网膜右动脉的解剖形态，还基于动脉内血流动力学特性。
