Reimann B, Lierse W, Schreiber H W
Langenbecks Arch Chir. 1983;359(2):81-92. doi: 10.1007/BF01257255.
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.
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。