CAJ | 학술논문

目的探讨加勒比海居民胆囊切除术中胆囊动脉的解剖变异及临床意义.方法分析“和谐使命-2011”任务期间开展的11例胆囊切除术,开腹2例,腹腔镜9例,总结胆囊动脉各型特点、走行及其进入胆囊的部位.结果主干单支型2例(18.2%),分支型9例(71.2%);2例主干单支型均走行于胆囊三角内,分支型中仅2例各有1分支走行胆囊管后外侧;胆囊动脉进入胆囊的部位以胆囊颈左侧居多(37.5%),Hartmann氏囊、胆囊颈右侧和颈体交界处其次,各占12.5%.结论充分认识当地人群胆囊动脉分型、走行及进入胆囊的常见部位,合理处理Calot三角内解剖结构,可减少术中术后出血,降低肝动脉及胆管损伤的发生率,提高手术成功率.
목적탐토가륵비해거민담낭절제술중담낭동맥적해부변이급림상의의.방법분석“화해사명-2011”임무기간개전적11례담낭절제술,개복2례,복강경9례,총결담낭동맥각형특점、주행급기진입담낭적부위.결과주간단지형2례(18.2%),분지형9례(71.2%);2례주간단지형균주행우담낭삼각내,분지형중부2례각유1분지주행담낭관후외측;담낭동맥진입담낭적부위이담낭경좌측거다(37.5%),Hartmann씨낭、담낭경우측화경체교계처기차,각점12.5%.결론충분인식당지인군담낭동맥분형、주행급진입담낭적상견부위,합리처리Calot삼각내해부결구,가감소술중술후출혈,강저간동맥급담관손상적발생솔,제고수술성공솔.
Objective To study the anatomic variation of cystic artery in cholecystectomy for residents in Caribbean Region and its clinical significance. Methods Of the 11 patients who underwent cholecystectomy during"Mission Hormonal 2011", 9 underwent laparotomy and 2 underwent laparoscopic cholecystectomy. The characteristics, distribution and location of cystic artery were analyzed. Results The main-trunk cystic artery lesion was found in 2 patients (18.2%) and the multiple cystic artery branch lesion was observed in 9 patients (71.2%). The two main-trunk cystic artery branches were located in the cystic triangle. Of the multiple cystic artery branches, 2 were located in the posterolateral cystic duct. The cystic artery was mainly located in the left neck of gallbladder (37.5%) followed by in Hartmann pouch (12.5%), in right neck of gallbladder (12.5%), in neck and body juncture (12.5%). Conclusion Full understanding of the types, distribution and common locations of cystic artery and precise dissection of Calot's triangle can reduce intra-operative bleeding, hepatic artery and bile duct injury, thus increasing the success rate of cholecystectomy.