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胰下左侧经神经丛暴露腹主动脉近端。

Left subpancreatic transplexus exposure of the proximal abdominal aorta.

作者信息

Di Marino V, Brunet C, Coppens R, Bonnoit J

机构信息

Laboratoire d'Anatomie, Faculté de Médecine Marseille, Marseille, France.

出版信息

Surg Radiol Anat. 1996;18(3):167-72. doi: 10.1007/BF02346122.

DOI:10.1007/BF02346122
PMID:8873328
Abstract

The authors report their experience based on the anatomical study of the celiac region and on the practice of abdominal multiorgan removal for transplantation. They particularly concentrate on the limits and the content of the celiac region of Luschka and particularly: -the position of the celiac axis in relation to the median arcuate ligament of the diaphragm, -the relations of the collateral branches of the abdominal aorta, -the place being taken by the celiac plexus and its situation in relation to the left renal v. From these elements, they describe an original transplexus surgical exposure of the origins of the celiac axis and of the superior mesenteric a. They show the importance of this approach in abdominal vascular surgery and during abdominal multiorgan removal in transplantation.

摘要

作者基于对腹腔区域的解剖学研究以及腹部多器官切除移植手术的实践报告了他们的经验。他们特别关注卢施卡腹腔区域的界限和内容,尤其是:- 腹腔干相对于膈正中弓状韧带的位置,- 腹主动脉分支的关系,- 腹腔神经丛所在位置及其与左肾静脉的关系。基于这些因素,他们描述了一种经神经丛的腹腔干和肠系膜上动脉起始部的手术显露方法。他们展示了这种入路在腹部血管外科手术以及腹部多器官切除移植手术中的重要性。

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1
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本文引用的文献

1
[The so-called "celio-mesenteric button-hole" region, an anatomico-surgical study].[所谓“腹腔-肠系膜纽扣孔”区域:一项解剖学与外科学研究]
J Chir (Paris). 1993 Feb;130(2):70-3.
2
Optimal exposure of the proximal abdominal aorta: a critical appraisal of transabdominal medial visceral rotation.近端腹主动脉的最佳暴露:经腹内侧内脏旋转术的批判性评估
J Vasc Surg. 1994 Mar;19(3):375-89; discussion 389-90. doi: 10.1016/s0741-5214(94)70065-6.
3
[Aortic orifice in the diaphragm].[膈主动脉孔]
C R Assoc Anat. 1970 Sep;148:433-41.
4
Surgical management of arterial lesions of the thoracoabdominal aorta.胸腹主动脉动脉病变的外科治疗
Am J Surg. 1973 Aug;126(2):157-64. doi: 10.1016/s0002-9610(73)80147-3.
5
[Extrinsic compressions of the celiac artery].
J Chir (Paris). 1972 Oct;104(4):289-306.
6
[Transdiaphragmatic approach to the supraceliac aorta. Surgical anatomy and operative technic].[经膈入路至腹腔干上方主动脉。手术解剖与操作技术]
J Chir (Paris). 1986 Dec;123(12):723-8.
7
[Optimization of multiple abdominal organ procurement].[多种腹部器官获取的优化]
Presse Med. 1989 Apr 22;18(16):837-40.
8
[Anatomic basis of the harvest of abdominal organs for organ transplants].[用于器官移植的腹部器官获取的解剖学基础]
Bull Assoc Anat (Nancy). 1990 Sep;74(226):5-13.