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中华结直肠疾病电子杂志 ›› 2017, Vol. 06 ›› Issue (03) : 198 -201. doi: 10.3877/cma.j.issn.2095-3224.2017.03.005

所属专题: 文献

论著

术前Henle干CT三维成像在腹腔镜右半结肠切除术中的应用
高玉蕾1, 杨道贵1,(), 孔祥恒1, 刘鑫1, 杜文峰1   
  1. 1. 252000 聊城,聊城市人民医院胃肠外科
  • 收稿日期:2017-02-19 出版日期:2017-06-25
  • 通信作者: 杨道贵

Application of preoperative identification of Henle trunk by three-dimensional multidetector computed tomography in laparoscopic right hemicolectomy

Yulei Gao1, Daogui Yang1,(), Xiangheng Kong1, Xin Liu1, Wenfeng Du1   

  1. 1. Department of Gastrointestinal Surgery, Taishan Medical University & Liaocheng People′s Hospital, Liaocheng 252000, China
  • Received:2017-02-19 Published:2017-06-25
  • Corresponding author: Daogui Yang
  • About author:
    Corresponding author: Yang Daogui, Email:
引用本文:

高玉蕾, 杨道贵, 孔祥恒, 刘鑫, 杜文峰. 术前Henle干CT三维成像在腹腔镜右半结肠切除术中的应用[J/OL]. 中华结直肠疾病电子杂志, 2017, 06(03): 198-201.

Yulei Gao, Daogui Yang, Xiangheng Kong, Xin Liu, Wenfeng Du. Application of preoperative identification of Henle trunk by three-dimensional multidetector computed tomography in laparoscopic right hemicolectomy[J/OL]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2017, 06(03): 198-201.

目的

术前利用CT三维血管重建技术描述Henle干的解剖结构,并探讨其在腹腔镜右半结肠切除术中的应用价值。

方法

选取右半结肠癌患者18例,术前行CT三维血管重建观察Henle干静脉属支构成。

结果

18例病人均识别出了Henle干。并根据结肠静脉(副右结肠静脉,右结肠静脉和中结肠静脉)参与数量发现Henle干的以下两种类型:Ⅰ(1支结肠静脉),Ⅱ(2支结肠静脉)。类型Ⅰ和Ⅱ类型出现的频率分别为:56%(n=10)、44%(n=8)。

结论

CT三维血管重建可以很好的识别汇入Henle干的静脉分支,从而为腹腔镜右半结肠切除术提供良好的指导作用。

Objective

The aim of this study is to describe the anatomical variations of the Henle trunk detected by three-dimensional multidetector computed tomography and to explore the applications in laparoscopic right hemicolectomy.

Methods

Eighteen patients who underwent laparoscopic right hemicolectomy were retrospectively reviewed, whose Henle trunk was detected by three-dimensional multidetector computed tomography.

Results

The Henle trunk was identified in all the patients by three-dimensional multidetector computed tomography. The Henle trunk described by three-dimensional multidetector computed tomography was classified into two types, Type-I (one colic drainage vein) and Type-II (two colic drainage veins), based on the number of drained colic veins (superior right colic vein, right colic vein and middle colic vein). The frequencies of Type-I and Type-II were 56% (n=10) and 44% (n=8), respectively.

Conclusions

Three-dimensional multidetector computed tomography can clearly identify the anatomical variations of the Henle trunk, which can provide guidance to laparoscopic right hemicolectomy.

图3 本图属类型-II,该病例中副右结肠静脉与中结肠静脉和胃网膜。右静脉与十二指肠上前静脉共同组成Henle干
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