Chen Ling, Yu Shaobin, Chen Shuchen, Han Ziyang, Chen Sui, Chen Mingduan, Lin Jihong, Kang Mingqiang
Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou 350122, China.
Ann Palliat Med. 2020 May;9(3):1249-1256. doi: 10.21037/apm.2020.03.10. Epub 2020 Mar 31.
The thoracic duct is an important anatomical structure of the abdomen, chest and neck. An accurate understanding of the anatomy of the thoracic duct is critical to ensuring the safety and accuracy of the surgical procedure involving these areas, which can help surgeons reduce accidental injuries and provide more accurate diagnosis and intervention for patients with serious complications such as chylothorax, etc. In addition, it has great reference value to know the anatomy of thoracic duct in advance for the selection of treatment strategies in the treatment of refractory pleural effusion and ascites, chylothorax, and heart failure. Therefore, it is of practical value to be able to perform in vivo lymphangiography before surgery. However, the slender thoracic duct, the hidden position and the complicated anatomical structure variations pose a great challenge to the safety and accuracy of the surgical operation. This paper aims at a comprehensive discussion about anatomic variation of thoracic duct and the development of imaging techniques.
胸导管是腹部、胸部和颈部的重要解剖结构。准确了解胸导管的解剖结构对于确保涉及这些区域的手术的安全性和准确性至关重要,这有助于外科医生减少意外伤害,并为乳糜胸等严重并发症的患者提供更准确的诊断和干预。此外,提前了解胸导管的解剖结构对于难治性胸腔积液和腹水、乳糜胸及心力衰竭的治疗策略选择具有重要参考价值。因此,术前能够进行体内淋巴管造影具有实际意义。然而,胸导管纤细、位置隐匿以及解剖结构变异复杂,给手术操作的安全性和准确性带来了巨大挑战。本文旨在全面探讨胸导管的解剖变异及成像技术的发展。