CAJ | 학술논문

目的研究髂内静脉与门静脉、肠系膜上静脉之间的关系,探讨其在胰十二指肠扩大切除术中应用的可行性并观察临床效果.方法解剖20具成年尸体标本的门静脉系统、髂静脉系统,观测髂内静脉及门静脉、肠系膜上静脉的管径、厚度及分支情况,并进行对比.对收治的2例患者行胰十二指肠扩大切除术并髂内静脉移植.结果尸体解剖示髂内静脉近端30 mm以内无血管分支,30～50 nlnl有1支,51～70mm有2～3支,其厚度及管径与门静脉、肠系膜上静脉相匹配,差异无统计学意义.临床手术2例患者切口仅需适当延长,手术时间5～7h,术后无血管栓塞、肠坏死、肝衰减等情况,随访6～16个月,无血管栓塞和复发迹象.结论髂内静脉可作为胰十二指肠扩大切除术中血管移植的又一选择.
목적 연구가내정맥여문정맥、장계막상정맥지간적관계,탐토기재이십이지장확대절제술중응용적가행성병관찰림상효과.방법 해부20구성년시체표본적문정맥계통、가정맥계통,관측가내정맥급문정맥、장계막상정맥적관경、후도급분지정황,병진행대비.대수치적2례환자행이십이지장확대절제술병가내정맥이식.결과 시체해부시가내정맥근단30 mm이내무혈관분지,30～50 nlnl유1지,51～70mm유2～3지,기후도급관경여문정맥、장계막상정맥상필배,차이무통계학의의.림상수술2례환자절구부수괄당연장,수술시간5～7h,술후무혈관전새、장배사、간쇠감등정황,수방6～16개월,무혈관전새화복발적상.결론 가내정맥가작위이십이지장확대절제술중혈관이식적우일선택.
Objective To study the relationship ofiliac vein, portal vein(PV) and superior mesenteric vein (SMV), explore the feasibility on application of iliac vein in extended pancreatoduodenoctomy, and observe the clinical results. Methods Portal system and iliac venous system were dissected in 20 adult corpses. The caliber, thickness and branches of iliac vein, PV and SMV were observed and compared. The application of iliac vein in extended pancreateduodenoctomy were studied in 2 patients. Results There were no branch in 30 mm near lilac vein, 1 branch in 30--50 nun and 2-3 branches in 51-70 ram. The thickness and caliber of iliac vein matched with PV's and SMV's, there was no significant difference. Only proper pro-longed operative incisions were needed and the operation time was 5-7 hours. Postoperative vascular throm-bosis, necrosis of intestine, liver failure and so on were not occurred. No evidence of vascular embolism and recurrence happened within 6-16 months' follow-up. Conclusion Uiac vein, as a choice, can be used for vasotransplantation in the pancreatoduodenectomy.