脏动脉淋巴结和脏状淋巴结的分布
Yuya Umebayashi1, Satoru Muro2, Masanori Tokunaga3
1Department of Gastrointestinal Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
腹腔镜脏保护脏状淋巴结解剖 (SPSHLD) 可能会留下后部淋巴结. 外科医生必须考虑后部的 No. 10号和没有. 11d淋巴结可能在此过程后仍然存在.
科学领域:
- 手术瘤学手术瘤学
- 胃肠道手术 胃肠道手术
- 人体解剖学 解剖学 解剖学
背景情况:
- 整体胃切除术与切除术是高级近位胃癌的标准.
- 腹腔镜脏维护脏状淋巴结剖析 (SPSHLD) 是脏切除术的替代方案.
- 这种SPSHLD涉及到背后的脏状淋巴结 (LNs) 的遗留.
研究的目的:
- 为了确定椎状 (No. 10) 和动脉 (第十号) 和动脉 (第十号) 11p 和 11d) LNs. 在线.
- 根据解剖学发现,评估腹腔镜SPSHLD中省略后部LN剖析的可行性.
主要方法:
- 从六具尸体中分析了染有血素和色素的样本.
- 淋巴结站分布的评估 没有 没有 10,11p,和11d. 的时间.
- 构建热图和3D重建,以对LN分布进行定性可视化.
主要成果:
- 在No.的数量上没有显著的差异. 在前后两侧之间有10个LNs.
- 前部编号 前部编号 在所有情况下,11p和11d LN 比后面的 LN 更多.
- 后部LN数量增加到部; 没有. 11p LNs是肤浅的,而没有. 第11d号和第1号. 10个LN是更深的.
结论:
- 后部LNs的数量,特别是在部,是显著的,不能被忽视.
- 进行SPSHLD的外科医生应该知道,后部No. 10号和没有. 11d LNs可以留在现场.
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