目的 觀察肝左區(qū)肝動脈解剖結構，模擬肝左外區(qū)活體肝移植動脈切取方法。
方法 解剖非肝病死亡之成人甲醛固定尸體肝臟標本30例，觀察新鮮成人尸體肝臟鑄型標本30例，測量肝左及左外區(qū)動脈長度、管徑及屬支分布情況。
結果 左半肝動脈的血供來自肝固有動脈、肝左動脈、肝中動脈，肝外迷走動脈支有左膈下動脈、胃左動脈和胃右動脈，并于不同部位發(fā)出后分別進入左外區(qū)上、下段。
結論 左半肝動脈主要有5種類型，因此解剖變異較多，左外區(qū)活體取肝前應仔細研究其結構特點，設計合理的切取模式； 移植前肝動脈需進行必要的整形，以便與受體動脈吻合。
引用本文： 蒲淼水,鐘世鎮(zhèn). 左外區(qū)活體肝移植動脈的臨床應用解剖研究. 中國普外基礎與臨床雜志, 2004, 11(5): 399-400下轉404. doi: 復制
版權信息： ?四川大學華西醫(yī)院華西期刊社《中國普外基礎與臨床雜志》版權所有，未經(jīng)授權不得轉載、改編
| 1. | Gawad KA, Topp S, Gundiach M, et al. Sharing of split livers between centers is easily feasible [Ｊ]. Transplant Proc, 2000; 32(1)∶59. |
| 2. | 李忠華主編. 人體鑄型標本的設計和制作 [M]. 第1版. 廣州： 華南理工大學出版社， 1992∶55～61. |
| 3. | Soin AS, Friend PJ, Rasmussen A, et al. Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts [Ｊ]. Br J Surg, 1996; 83(5)∶637. |
| 4. | Koehler RE, Korobkin M, Lewis F. Arteriographic demonstration of collateral arterial supply to the liver after hepatic artery ligation [Ｊ]. Radiology, 1975; 117(1)∶49. |
| 5. | Inomoto T, Nishizawa F, Sasaki H, et al. Experiences of 120 microsurgical reconstructions of hepatic artery in living related liver transplantation [Ｊ]. Surgery, 1996; 119(1)∶20. |
| 6. | Ikegami T, Kawasaki S, Matsunami H, et al. Should all hepatic arterial branches be reconstructed in livingrelated liver transplantation? [Ｊ]. Surgery, 1996; 119(4)∶431. |
- 1. Gawad KA, Topp S, Gundiach M, et al. Sharing of split livers between centers is easily feasible [Ｊ]. Transplant Proc, 2000; 32(1)∶59.
- 2. 李忠華主編. 人體鑄型標本的設計和制作 [M]. 第1版. 廣州： 華南理工大學出版社， 1992∶55～61.
- 3. Soin AS, Friend PJ, Rasmussen A, et al. Donor arterial variations in liver transplantation: management and outcome of 527 consecutive grafts [Ｊ]. Br J Surg, 1996; 83(5)∶637.
- 4. Koehler RE, Korobkin M, Lewis F. Arteriographic demonstration of collateral arterial supply to the liver after hepatic artery ligation [Ｊ]. Radiology, 1975; 117(1)∶49.
- 5. Inomoto T, Nishizawa F, Sasaki H, et al. Experiences of 120 microsurgical reconstructions of hepatic artery in living related liver transplantation [Ｊ]. Surgery, 1996; 119(1)∶20.
- 6. Ikegami T, Kawasaki S, Matsunami H, et al. Should all hepatic arterial branches be reconstructed in livingrelated liver transplantation? [Ｊ]. Surgery, 1996; 119(4)∶431.