江天, 李明, 赵梦男, 杨新宇, 代曦煜, 詹成, 冯明祥. 胃血管解剖及其在食管癌管状胃重建中的应用[J]. 中国肿瘤临床, 2019, 46(3): 126-129. DOI: 10.3969/j.issn.1000-8179.2019.03.197
引用本文: 江天, 李明, 赵梦男, 杨新宇, 代曦煜, 詹成, 冯明祥. 胃血管解剖及其在食管癌管状胃重建中的应用[J]. 中国肿瘤临床, 2019, 46(3): 126-129. DOI: 10.3969/j.issn.1000-8179.2019.03.197
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Jiang Tian, Li Ming, Zhao Mengnan, Yang Xinyu, Dai Xiyu, Zhan Cheng, Feng Mingxiang. Vascular anatomy of the stomach and its application in gastric tube reconstruction during esophagectomy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2019, 46(3): 126-129. DOI: 10.3969/j.issn.1000-8179.2019.03.197
Citation: Jiang Tian, Li Ming, Zhao Mengnan, Yang Xinyu, Dai Xiyu, Zhan Cheng, Feng Mingxiang. Vascular anatomy of the stomach and its application in gastric tube reconstruction during esophagectomy[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2019, 46(3): 126-129. DOI: 10.3969/j.issn.1000-8179.2019.03.197
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胃血管解剖及其在食管癌管状胃重建中的应用

Vascular anatomy of the stomach and its application in gastric tube reconstruction during esophagectomy

    摘要
  • 摘要:
      目的  本研究旨在了解胃血管, 尤其是胃网膜右动脉的解剖情况, 为食管癌术中管状胃的重建提供参考。
      方法  解剖由上海医学院提供的尸体28具, 其中男性18具、女性10具。分别观察并测量各条胃供血动脉的直径及长度, 胃网膜右动脉的长度及其与胃大弯长度的比值, 观察胃网膜左、右动脉的吻合情况。
      结果  最终可测得胃左动脉为25条, 直径为3.40(2.10~6.40) mm; 胃右动脉21条, 直径为1.97(0.68~3.56) mm; 胃网膜左动脉26条, 直径为1.87(0.80~2.96) mm; 胃网膜右动脉28条, 直径为2.82 (1.58~4.80) mm, 长度为216.71(120~318) mm; 胃大弯长度为356.39(248~487) mm。胃网膜右动脉长度与胃大弯长度的平均比值为0.61(0.45~0.82)。28具尸体中, 17具发现胃网膜左、右动脉的终支有吻合支, 占60.7%。
      结论  通过尸体解剖, 对胃的供应血管进行观察和统计, 计算得到胃各供应血管长度和直径, 推测胃网膜右动脉平均提供胃大弯侧61%的血供, 在60.7%的标本中发现有胃网膜左、右动脉的吻合支。通过基础解剖数据, 以期为食管癌术中管状胃血供的估算及管状胃的最佳重建提供参考。

     

    Abstract:
      Objective  To investigate the vascular anatomy of the stomach, especially the right gastroepiploic artery for the reconstruction of a gastric tube during esophagectomy.
      Methods  The vascular anatomy of the stomach was studiing in 28 embalmed human specimens provided by the Department of Anatomy, Shanghai Medical College, Fudan University, included 10 female and 18 male specimens.The length and diameter of gastric vessels were measured.The ratio of the length of the right gastroepiploic artery to the length of the greater curvature was calculated.Anastomosis between the left and right gastroepiploic arteries was also assessed.
      Results  Twenty-five left gastric arteries were observed in the autopsies, with the mean diameter of 3.40(2.10-6.40) mm.Twenty-one right gastric arteries were measured, with the mean diameter of 1.97(0.68-3.56) mm.Twenty-six left gastroepiploic arteries were observed, with the mean diameter of 1.87(0.80-2.96) mm.Twenty-eight right gastroepiploic arteries were measured, with the mean diameter of 2.82(1.58-4.80) mm.The mean lengths of the 28 right gastroepiploic arteries and their greater curvatures were 216.71(120- 318) mm and 356.39(248-487) mm, respectively.The ratio of the length of right gastroepiploic arteries and greater curvatures was 0.61(0.45-0.82).The anastomosis between the left and right gastroepiploic arteries was observed in 60.7%(17/28) of the specimens.
      Conclusions  The length and diameter of gastric vessels were calculated.It was assumed that the right gastroepiploic artery provides an average of 61% of the blood supply for the great curvature.In addition, the anastomotic branch of the right and left gastroepiploic arteries was observed in 60.7% specimens.These anatomical data allow surgeons to estimate the blood supply and to choose an optimal method of gastric tube reconstruction during esophagectomy.

     

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