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胰腺系膜外科解剖及组织学观察研究

吴文广 刘颖斌 管雯斌 刘永琛 朱逸荻 梁海滨 吴向嵩 李茂岚 王许安 王立峰

中国实用外科杂志2017,Vol.37Issue(7):774-777,4.
中国实用外科杂志2017,Vol.37Issue(7):774-777,4.DOI:10.19538/j.cjps.issn1005-2208.2017.07.19

胰腺系膜外科解剖及组织学观察研究

Study on surgical anatomy and histology of mesopancreas

吴文广 1刘颖斌 1管雯斌 2刘永琛 1朱逸荻 1梁海滨 1吴向嵩 1李茂岚 1王许安 1王立峰2

作者信息

  • 1. 上海交通大学医学院附属新华医院 普通外科,上海200092
  • 2. 上海交通大学医学院附属新华医院 病理科,上海200092
  • 折叠

摘要

Abstract

Objective To investigate the surgical anatomical and histological data for the mesopancreas and mesopancreatic excision. Methods The anatomic structures of the peripancreatic space,the important vessels and the retroperitoneal structures of 5 cadaveric specimens between January and December 2016 in Basic Medicine Faculty of Shanghai Jiao Tong University were observed in the study. The structures of the vessels and retroperitoneum were histological studied. Results Posterior pancreatic space was an important anatomical plane of mesopancreatic excision. Celiac trunk and superior mesenteric artery were important anatomic landmarks of mesopancreatic excision. The No.16 lymph node was the extra anatomy structure of mesopancreas. There was a natural surgical space between the adventitia and sheath of the artery. There was a great deal of nerve and lymphatic vessel distribution on and outside the arterial sheath of the peripancreatic arteries. Conclusion Mesopancreas and mesopancreatic excision have the corresponding basis of surgical anatomy. Arterial sheaths dissection strategy for improving the dissection effect has certain anatomical basis.

关键词

胰腺系膜/胰腺全系膜切除/胰后间隙/血管鞘/外科解剖

Key words

mesopancreas/total mesopancreatic excision(TMpE)/retropancreatic space/vagina vasorum/surgical anatomy

分类

医药卫生

引用本文复制引用

吴文广,刘颖斌,管雯斌,刘永琛,朱逸荻,梁海滨,吴向嵩,李茂岚,王许安,王立峰..胰腺系膜外科解剖及组织学观察研究[J].中国实用外科杂志,2017,37(7):774-777,4.

基金项目

上海市级医院新兴前沿技术联合攻关项目(No.SHDC12014109) (No.SHDC12014109)

中国实用外科杂志

OA北大核心CSCDCSTPCD

1005-2208

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