中国实用外科杂志2026，Vol.46Issue(4)：442-448,7.DOI:10.19538/j.cjps.issn1005-2208.2026.04.09
腹壁组织结构分离技术中解剖结构保护的重要性与策略
The importance and strategies of anatomical structure preservation in the component separation technique of the abdominal wall
摘要
Abstract
The component separation CS is a core approach for repairing large and complex abdominal wall defects.Its surgical manipulation inevitably involves interference with key anatomical structures of the abdominal wall,and effective protection of these structures directly impacts postoperative complications and long-term functional recovery.A thorough understanding and mastery of the critical anatomical layers,as well as the course and distribution of blood vessels and nerves in the abdominal wall,are prerequisites for the safe implementation of CS.Protecting the abdominal wall vascular system,neural innervation,and the integrity of the myofascial structures is essential to avoiding the anatomical risks associated with CS.The anterior approach CS that preserves perforating vessels,the posterior approach CS that retains intact neurovascular bundles,and endoscopic or robot-assisted minimally invasive techniques all provide significant support for implementing individualized CS that balances efficacy and safety,while also enhancing the safety and long-term outcomes of abdominal wall reconstruction.Greater refinement,minimally invasive application,intelligence,and functional restoration represent the future direction of CS.关键词
腹壁重建/组织结构分离/穿支血管/神经血管束Key words
abdominal wall reconstruction/component sepa-ration/perforating vessels/neurovascular bundle分类
医药卫生引用本文复制引用
杨董超,宋致成,李绍杰,唐健雄,顾岩..腹壁组织结构分离技术中解剖结构保护的重要性与策略[J].中国实用外科杂志,2026,46(4):442-448,7.基金项目
National Natural Science Foundation of China(No.82170526,No.82570602) 国家自然科学基金项目(No.82170526,No.82570602) （No.82170526,No.82570602）
