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右下肝血管和后门静脉之间的位置关系
Koetsu Inoue1,2, Fumiaki Watanabe1, Ryuji Hasebe1
1Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
右下肝静脉 (IRHV) 通常被分类为S6/S7. 当IRHV不是一个明确的地标时,右肝静脉 (RHV) 可以帮助在细分切除过程中识别第7段 (P7).
科学领域:
- 肝胆道手术是肝胆道的手术.
- 解剖学研究 解剖学研究
- 外科手术的地标是什么
背景情况:
- 右下肝静脉 (IRHV) 是一个潜在的里程碑,用于识别解剖细分7 (S7) 细分解剖中的细分7 (P7) 的门分支.
- 在IRHV和后门静脉之间确切的关系还没有得到很好的定义.
研究的目的:
- 为了研究右下肝静脉 (IRHV) 和后门静脉之间的位置关系.
- 评估IRHV和RHV作为S7细分解剖中P7识别的基准的实用性.
主要方法:
- 对203名接受了手术前多检测器CT的患者进行了回顾性审查.
- 进行3D图像处理,分析相对于门户分支的IRHV和RHV的运行模式.
- 对IRHV课程的分类为S6,S7或S6/S7.7.
主要成果:
- 在44.8%的患者中发现了右下肝静脉 (IRHV).
- 大多数IRHV (71.4%) 被归类为S6/S7,沿着分段间平面运行.
- 与没有IRHV的患者 (24.1%) 相比,在P6/P7区间平面上,IRHV或RHV的患者比例 (92.3%) 显著更高.
结论:
- 最下右肝静脉 (IRHVs) 沿着S6/S7区间平面运行.
- 右肝静脉 (RHV) 可以作为一个替代的解剖基准来识别P7,当IRHV不适合在S7断片切除过程中.
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