Ying D J, Ho G T, Cai J X
Department of Anatomy, Third Medical University, Chongqing, P.R. China.
Surg Radiol Anat. 1997;19(5):293-4. doi: 10.1007/BF01637594.
The hepatic ligamentum teres was investigated in 30 adult specimens. The ligament represents a fibrous remnant of the umbilical v. and a small irregular lumen still exists in the ligament in adult life. The ligament is supplied by one set of independent round ligament a. and paraumbilical vv. Since the proximal segment of the ligament is easily mobilised and since the ligamentous a. originates from the right hepatic a. near the hilum, a proximal vascularized pedicle flap of the ligamentum teres has been recommended. Surgical repair of the extrahepatic bile duct using a vascularized pedicle flap of the ligamentum teres has been carried out successfully in 12 patients.
对30个成人标本中的肝圆韧带进行了研究。该韧带是脐静脉的纤维残余物，在成年期韧带中仍存在一个小的不规则管腔。该韧带由一组独立的圆韧带动脉和脐旁静脉供血。由于韧带的近端部分易于游离，且韧带动脉起源于肝门附近的右肝动脉，因此有人推荐使用带血管蒂的肝圆韧带近端皮瓣。12例患者成功地使用带血管蒂的肝圆韧带皮瓣进行了肝外胆管的手术修复。
