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[肝门处血管和胆管非典型分支及形成情况下其局部解剖的外科重要性]

[Surgical importance of the topography of the vessels and bile ducts in the hepatic portal in case of their atypical branching and formation].

作者信息

Mikhaĭlov G A

出版信息

Vestn Khir Im I I Grek. 1976 Apr;116(4):32-7.

PMID:960491
Abstract

The portal triad was studied on 100 specimens of porta hepatis, using the methods of preparation, roentgenography and corrosion. An unusual origin of hepatic arteries was observed in 36%, atypical formation of bile ducts--in 33%, and a specific branching of the portal vein--in 15%. Different variants of vessels and bile ducts related with their specific development can be intercombined. Due to it, during surgical procedures in the region of porta hepatis it is necessary to bear in mind not only an atypical structure of each element of the Glisson system, but also the possibility of frequent combination of their different variants.

摘要

采用标本制备、X线造影及腐蚀铸型等方法,对100例肝门标本的肝门三联结构进行了研究。观察到36%的肝动脉起源异常,33%的胆管形成不典型,15%的门静脉分支特殊。与特定发育相关的血管和胆管的不同变异可相互组合。因此,在肝门区手术过程中,不仅要牢记Glisson系统各要素的非典型结构,还要考虑其不同变异频繁组合的可能性。

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