观测了40例成人肝脏标本,按临床肝方叶舌状切除术和胆肠吻合术的实际出发,分析了第一肝门部位的左右肝管、门静脉左右干、肝左右动脉的排列关系:肝方叶内的 Glisson’s 系统的分支、分布及肝中静脉的属支范围和它们的规律等。为临床该术式的实施提出了解剖学依据,且讨论了应用要点及术中注意的问题。 40 adult liver specimens were observed. According to the clinical practice of the hepatic lobectomy and cholangioenterostomy, the arrangement of the left and right hepatic duct, the left and right hepatic veins and the left and right hepatic arteries in the first hepatic portal were analyzed. The branching and distribution of the Glisson’s system in the square leaves and the branches of the hepatic vein and their regularities. Anatomical basis for the clinical implementation of the operation proposed, and discusses the application points and intraoperative attention problems.