Department of Gastro-intestinal Surgery, MIOT Hospital, Chennai, India.
Department of Gastro-intestinal Surgery, Bharati Vidyapeeth Medical College, Pune, India.
Langenbecks Arch Surg. 2021 Aug;406(5):1249-1281. doi: 10.1007/s00423-020-02031-6. Epub 2021 Jan 7.
Despite their ubiquitous presence, easy availability and diverse possibilities, falciform ligament and hepatic round ligament have been used less frequently than their potential dictates. This article aims to comprehensively review the applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery and assess their utility and efficacy.
Medical literature/indexing databases were searched, using internet search engines, for pertinent articles and analysed.
The studied flap and graft have found utility predominantly in the management of diaphragmatic hernias, gastro-oesophageal reflux disease, peptic perforations, biliary reconstruction, venous reconstruction, post-operative pancreatic fistula, post-pancreatectomy haemorrhage, hepatic cyst cavity obliteration, liver bleed, sternal dehiscence, splenectomy, reinforcement of aortic stump, feeding access, diagnostic/therapeutic access into portal system, composite tissue allo-transplant and ventriculo-peritoneal shunting where they have exhibited the desired efficacy.
Hepatic round ligament/falciform ligament flap and graft are versatile and have multifarious applications in abdominal surgery with some novel and unique uses in hepatopancreaticobiliary surgery including liver transplantation. Their evident efficacy needs wider adoption to realise their true potential.
尽管镰状韧带和肝圆韧带无处不在、易于获取且具有多种可能性，但它们的应用却不如其潜在需求那样频繁。本文旨在全面回顾肝圆韧带/镰状韧带皮瓣和移植物在腹部手术中的应用，并评估其效用和疗效。
通过互联网搜索引擎检索医学文献/索引数据库中相关文章并进行分析。
研究中提到的皮瓣和移植物主要用于膈疝、胃食管反流病、消化性溃疡穿孔、胆道重建、静脉重建、术后胰瘘、胰腺切除术后出血、肝囊肿腔闭塞、肝出血、胸骨裂开、脾切除术、主动脉残端加固、喂养通道、门静脉系统诊断/治疗通道、复合组织同种异体移植和脑室-腹腔分流术，在这些情况下，它们都表现出了理想的疗效。
肝圆韧带/镰状韧带皮瓣和移植物用途广泛，在腹部手术中有多种应用，在肝胆胰外科手术中具有一些新颖而独特的用途，包括肝移植。为了充分发挥其潜力，需要更广泛地采用这些皮瓣和移植物。
