Leborgne J, Heloury Y, Le Scouarnec J, Duveau D
Bull Assoc Anat (Nancy). 1982 Dec;66(195):481-90.
The surgical approach to the supra coeliac aorta, after cutting muscular fibers surrounding the oesophageal hiatus has been, recently, suggested. Herein we study the structure of the hiatus in order to estimate the ease of that way. The oesophageal hiatus if formed in 60% of the cases to the detriment of the right pillar only. Thus the anterior wall of the lower part of the thoracic aorta can be exposed by cutting the deep fascicle only; in the other cases (40%), some crossed fibers from the left pillar participate to the constitution of oesophageal hiatus; these crossed fibers have to be cut but are of reduced volume. The abdominal approach of the lower part of the thoracic aorta seems to be interesting technical solution.
最近有人提出，在切断食管裂孔周围的肌纤维后，采用手术方法处理膈上主动脉。在此，我们研究裂孔的结构，以评估该方法的难易程度。60%的病例中食管裂孔仅由右侧支柱形成，从而损害了右侧支柱。因此，仅通过切断深层筋膜就可以暴露胸主动脉下部的前壁；在其他病例（40%）中，来自左侧支柱的一些交叉纤维参与食管裂孔的构成；这些交叉纤维必须切断，但体积较小。胸主动脉下部的腹部入路似乎是一个有趣的技术解决方案。
