Di Marino V, Brunet C, Coppens R, Bonnoit J
Laboratoire d'Anatomie, Faculté de Médecine Marseille, Marseille, France.
Surg Radiol Anat. 1996;18(3):167-72. doi: 10.1007/BF02346122.
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.
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。