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本文根据肝管汇合区肿瘤和转移途径、扩散范围和根治原理,应用尸体标本,从解剖学角度,研究了右肝扩大根治切除术治疗的可能性。从40例非肝胆病变死亡的成人尸体中,取出肝脏及其邻近结构,通过解剖和X线造影,了解左肝内外侧分叶间血管、胆管和肝脏节段之间的解剖关系,测量胆管和血管的长度和直径,脐静脉再开放及其作用,进而研究扩大右肝切除(包括方叶、尾叶和肝十二指肠韧带以及其中的血管和胆管)和余下左肝(即左外侧叶)重建的可能性。解剖程序和发现:①沿镰状韧带右侧切开肝脏桥式实质,显露左门静脉脐部所谓Rex陷窝,其上为肝门延伸的结缔组织和腹膜复盖。②自镰状韧带解
In this paper, according to the path and metastasis path of hepatic duct confluence, the scope of diffusion and radical principle, the application of cadaver specimens from the anatomical point of view, the possibility of extended radical resection of the right hepatic resection was studied. From 40 adult cadavers who died of non-hepatobiliary disease, the liver and its adjacent structures were taken out. Anatomical and X-ray images were taken to understand the anatomic relationship between the segments of blood vessels, bile duct and liver in the medial and lateral lobes of the left liver. The length and diameter of blood vessels, the reopening of the umbilical vein and its effects, and then to study the expansion of the right hepatectomy (including the square leaf, caudate lobe and hepatoduodenal ligament and its blood vessels and bile duct) and the remaining left liver (left lateral lobe The possibility of reconstruction. Anatomical procedures and findings: ① Cut the hepatic bridge parenchyma along the right side of the sickle ligament, revealing the so-called Rex lacuna in the umbilicus of the left portal vein, which is the connective tissue and peritoneal lacrimal extension of the hilar. ② since sickle ligament solution