肝肾胰器官簇移植临床解剖学研究

目的：为了开展肝肾胰器官簇移植提供应用解剖学资料和术式设计方案。方法：对２４具成人尸体进行解剖观察，了解其主要血管分布，胆管、输尿管、胰管的位置以及腹腔内空腔脏器的相互关系。结果：测得主要血管腹主动脉平均长度１９．２０ｃｍ，上端外径２．２１ｃｍ；下腔静脉平均长度１９．４２ｃｍ，上端外径２．６０ｃｍ；门静脉长５．５９ｃｍ，宽度１．４９ｃｍ；肝固有动脉长３．８５ｃｍ，宽０．６４ｃｍ；胆总管长４．１９ｃｍ，宽度０．７８ｃｍ；在输尿管平均长度为２７．１１ｃｍ，右输尿管平均长度为２５．９３ｃｍ。对器管簇移植的整体切取、修整、安放和吻合提供多种方案。结论：肝肾胰器官簇移植手术有应用解剖学依据的可行性，按形态学规律有多种合理的术式设计方案

Clinical anatomy study for the liver kideny pancreas transplantation

In order to provide anatomic data for the surgical operation design of the liver kidney pancreas cluster organ transplantation,24 adult cadavers were dissected.The main blood vessels distribution of abdominal cluster organ and the orientation of the organs such as the biliary ducts,the ureters and the pancreatic duct,and the relations among the abdominal hollow viscera were observed and measured.The result showed that the length and upper external diameter of abdominal aorta and inferior vena cava were 19.20 cm and 2.21 cm, 19.42 cm and 2.60 cm. The length and width of portal vein, hepatic proper artery and choledoch were 5.59 cm and 1.49 cm, 3.85 cm and 0.64 cm, 4.19 cm and 0.78 cm correspondingly.The length of left ureter and right ureter were 27.11 cm and 25.93 cm.In this experiment, the excision, modification, location and anastomosis of the cluster organ were well discussed and several operation designs were presented forward.This study implied the feasibility of liver kidney pancreas organ cluster transplantation in terms of anatomy.