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[肝段动脉之间的吻合以及膈肝动脉-动脉吻合]

[Anastomoses between the segmental arteries of the liver and phrenicohepatic arterio-arterial anastomoses].

作者信息

Reimann B, Lierse W, Schreiber H W

出版信息

Langenbecks Arch Chir. 1983;359(2):81-92. doi: 10.1007/BF01257255.

DOI:10.1007/BF01257255
PMID:6827883
Abstract

A corrosion - cast anatomical study was performed on human livers. At first arterio-arterial anastomoses between the inferior phrenic arteries and branches of the main hepatic artery were investigated. Secondly, arterial communications between the right and left hepatic artery are described. 1. The anatomical-functional study of phrenico-hepatic anastomoses gives new detailed information on the arterial blood supply of the liver out of the phrenic arteries. These collaterals are a consistent finding. By far the largest part of the phrenicohepatic anastomoses is derived from the right inferior phrenic artery. The superior and posterior segments receive most of the anastomoses. In about 10% of our cases we succeeded in filling almost the whole arterial system of the liver by injecting the inferior phrenic arteries. 2. There are three anastomotic pathways from the right hepatic artery to the left: the so-called portal anastomoses (hilar anastomoses), translobar vessels, and the capsular arteries.

摘要

对人体肝脏进行了铸型腐蚀解剖学研究。首先,研究了膈下动脉与肝固有动脉分支之间的动脉-动脉吻合情况。其次,描述了肝左右动脉之间的动脉交通。1. 膈肝吻合的解剖功能研究为肝脏来自膈下动脉的动脉血供提供了新的详细信息。这些侧支是一个恒定的发现。膈肝吻合的绝大部分来自右下膈动脉。上段和后段接受了大部分吻合支。在我们大约10%的病例中,通过注射膈下动脉成功地使肝脏的几乎整个动脉系统充盈。2. 从右肝动脉到左肝动脉有三条吻合途径:所谓的门静脉吻合(肝门吻合)、跨叶血管和包膜动脉。

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[Anastomoses between the segmental arteries of the liver and phrenicohepatic arterio-arterial anastomoses].[肝段动脉之间的吻合以及膈肝动脉-动脉吻合]
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[Intrahilar anastomoses of the hepatic artery].[肝门部肝动脉吻合术]
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Are hepatic arteries end-arteries?肝动脉是终末动脉吗?
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本文引用的文献

1
Effects of ligation of hepatic artery in rabbits: influence of penicillin and streptomycin.兔肝动脉结扎的效果:青霉素和链霉素的影响
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Formation of effective collateral circulation following excision of hepatic artery.肝动脉切除术后有效侧支循环的形成。
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3
The intrahepatic distribution of the hepatic artery in man.人体肝脏动脉的肝内分布。
辅助性左肝动脉在接受胃癌根治性胃切除术中的短期临床意义。
PLoS One. 2013 May 23;8(5):e64300. doi: 10.1371/journal.pone.0064300. Print 2013.
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Laparoscopic detection of aberrant left hepatic artery: a prospective study in 300 consecutive patients.腹腔镜检测异常左肝动脉:对300例连续患者的前瞻性研究。
Surg Radiol Anat. 2006 Mar;28(1):13-7. doi: 10.1007/s00276-005-0008-5. Epub 2005 Dec 15.
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Anatomic variations of the hepatic arteries in 604 selective celiac and superior mesenteric angiographies.604例选择性腹腔干和肠系膜上动脉血管造影中肝动脉的解剖变异
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[In situ protection of the liver with Bretschneider HTK solution].
Langenbecks Arch Chir. 1991;376(2):85-92. doi: 10.1007/BF01263465.
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Collateral arterial pathways to the liver after ligation of the hepatic artery and removal of the celiac axis.肝动脉结扎及腹腔干切除术后肝脏的侧支动脉通路
Cancer. 1953 Jul;6(4):708-24. doi: 10.1002/1097-0142(195307)6:4<708::aid-cncr2820060411>3.0.co;2-a.
5
Studies on the hepatic artery's anatomy and on liver necrosis following its ligation; some aspects on the hepatorenal syndrome.肝动脉解剖及结扎后肝坏死的研究;肝肾综合征的某些方面。
Acta Chir Scand Suppl. 1953;175:5-69.
6
Effect of hepatic artery ligation on ascites due to laennec cirrhosis; report of two cases.肝动脉结扎术对Laennec肝硬化所致腹水的影响;两例报告。
AMA Arch Surg. 1953 Mar;66(3):344-55. doi: 10.1001/archsurg.1953.01260030359010.
7
[Iatrogenic arterial injuries (author's transl)].医源性动脉损伤(作者译)
Zentralbl Chir. 1981;106(12):785-93.
8
The treatment of post-traumatic hemobilia by ligation of the common hepatic artery.通过结扎肝总动脉治疗创伤后血胆症。
Surg Clin North Am. 1968 Dec;48(6):1337-46. doi: 10.1016/s0039-6109(16)38693-5.
9
[Injuries of the hepatic artery and its intrahepatic branches].[肝动脉及其肝内分支损伤]
Bruns Beitr Klin Chir (1971). 1970 Sep;218(3):193-209.
10
Angiographic study of the collateral circulation to the liver after ligation of the hepatic artery in man.人体肝动脉结扎术后肝脏侧支循环的血管造影研究。
Am J Surg. 1970 Jun;119(6):620-4. doi: 10.1016/0002-9610(70)90228-x.