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中华腔镜外科杂志(电子版) ›› 2018, Vol. 11 ›› Issue (05) : 257 -260. doi: 10.3877/cma.j.issn.1674-6899.2018.05.001

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肝脏解剖:从尸体静态解剖学下的树干理论到临床潜能形态学下的流域学说
刘荣1,(), 赵国栋1   
  1. 1. 100853 北京,解放军总医院肝胆外二科
  • 收稿日期:2018-09-22 出版日期:2018-10-30
  • 通信作者: 刘荣
  • 基金资助:
    国家自然科学基金(81500499); 国家重点研发计划(2017YECO110405)

New concepts of the anatomy of the liver: from the trunk theory of cadaveric anatomy to the basin theory of clinical potential morphology

Rong Liu1(), Guodong Zhao1   

  • Received:2018-09-22 Published:2018-10-30
  • Corresponding author: Rong Liu
引用本文:

刘荣, 赵国栋. 肝脏解剖:从尸体静态解剖学下的树干理论到临床潜能形态学下的流域学说[J/OL]. 中华腔镜外科杂志(电子版), 2018, 11(05): 257-260.

Rong Liu, Guodong Zhao. New concepts of the anatomy of the liver: from the trunk theory of cadaveric anatomy to the basin theory of clinical potential morphology[J/OL]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2018, 11(05): 257-260.

图1 左肝门离断后4年,保留的左内叶肝脏形态完好
图2 联合肝脏分割和门静脉结扎的分阶段肝切除术一期手术后CT平扫加增强扫描提示切除侧门静脉结扎后再通,且强化早于保留侧门静脉
图3 右肝动脉结扎后,即时动脉血管造影提示动脉潜通路开放,右肝动脉远心端分支显影
图4 肝内胆管结石合并左外叶、右后叶萎缩,肝脏变形,术中切除肝左外叶和胆囊过程中损伤左肝动脉和变异的右肝动脉,术后5 d的CT平扫加增强提示左肝动脉和右肝动脉均再通
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