\u6742\u4e8b\u6bd4\u8f83\u591a\u5bfc\u81f4\u62d6\u66f4\u8bb8\u4e45\uff0c\u672c\u671f\u5b66\u4e60\u7684\u5185\u5bb9\u53ef\u80fd\u5199\u7684\u6bd4\u8f83\u96f6\u788e\uff0c\u4e0d\u5f53\u4e4b\u5904\u8fd8\u671b\u6307\u51fa\u3002\u672c\u671f\u7684\u5b66\u4e60\u5185\u5bb9\u5982\u4e0b\uff1a<\/p>\n
1\u3001Rouviere\u6c9f<\/p>\n
\u6700\u65e9\u7531\u6cd5\u56fd\u89e3\u5256\u5b66\u5bb6Henri Rouvi\u00e8re\u4e8e1924\u5e74\u547d\u540d\uff0c\u662f\u4e00\u6761\u4ece\u5c3e\u72b6\u7a81\u8d70\u5411\u53f3\u809d\u5185\u957f\u7ea62-5cm\u7684\u89e3\u5256\u6807\u8bb0\u3002\u6587\u732e\u62a5\u9053\u5176\u51fa\u73b0\u7684\u6982\u7387\u4e3a52-97.8%\uff0c\u5927\u90e8\u5206\u8ba4\u4e3a\u572870-80%\u3002\u5176\u610f\u4e49\u5728\u4e8e\u53f3\u540e\u652fGlisson\u5f80\u5f80\u8d70\u884c\u5176\u4e2d\u3002<\/p>\n
\u4e0a\u56fe\u4e3aIa\u578b<\/p>\n<\/p>\n
\u4e0a\u56fe\u4e3aII\u578b<\/p>\n<\/p>\n
\u4e0a\u56fe\u4e3aIII\u578b<\/p>\n
G.P\u00e9r\u00e9\u7b49\u603b\u7ed3\u4e00\u4e9bRouviere\u6c9f\u7684\u5f62\u6001\u7279\u5f81\uff0c\u5217\u8868\u5982\u4e0b\uff0c\u5373\u5927\u90e8\u5206\u662f\u659c\u884c\u800c\u975e\u5782\u76f4\u8d70\u5f62\uff0c\u957f\u5ea6\u57282-3cm\uff0c\u5bbd1cm\u4e0a\u4e0b\uff0c\u6df1\u5ea6\u57287mm\u4e0a\u4e0b\u3002<\/p>\n
\u6709\u4e9b\u5b66\u8005\u63d0\u51faRouviere\u6c9f\u7684\u5f62\u6001\u53ef\u80fd\u4e0e\u80c6\u7ba1\u53d8\u5f02\u5206\u578b\u6709\u5173\uff0c\u4f46\u662f\u4e5f\u6709\u4e9b\u4e0d\u8d5e\u540c\uff0c\u76ee\u524d\u6ca1\u6709\u592a\u591a\u8bc1\u636e\u652f\u6301\u4e0d\u540c\u5206\u578b\u7684Rouviere\u6c9f\u4e0e\u80c6\u9053\u53d8\u5f02\u7684\u5173\u7cfb\u3002\u56e0\u6b64\u5176\u4e3b\u8981\u4e34\u5e8a\u610f\u4e49\u8fd8\u662f\u5728\u4e8e\u5bfb\u627e\u53f3\u540e\u652fGlisson\u3002<\/p>\n<\/p>\n
\u8fd9\u91cc\u5c55\u793a\u4e86Rouviere\u6c9f\u5185\u76844\u79cd\u89e3\u5256\u3002\u5de6\u4e0a\u89d2\u662f\u6700\u5e38\u89c1\u7684\u89e3\u5256\u7c7b\u578b\uff0c\u5373\u53f3\u524d\u652f\u5728Rouviere\u6c9f\u524d\u65b9\u5206\u51fa\uff0c\u6b64\u7c7b\u578b\u7ea6\u536070%\u3002\uff08MRPP\uff1amain right portal pedicles\uff0c\u53f3\u652f\u4e3b\u5e72\uff1bASGP\uff1aanterior sectional glissonian pedicle \u53f3\u524d\u652f\uff1bPSGP\uff1aposterior sectional glissonian pedicle \u53f3\u540e\u652f\uff09<\/p>\n
2\u3001\u95e8\u9759\u8109\u53f3\u652f<\/p>\n
Nakamura\u7b49\u6839\u636e\u95e8\u8109\u53f3\u652f\u7684\u53d8\u5f02\u60c5\u51b5\u5c06\u95e8\u9759\u8109\u5206\u53c9\u60c5\u51b5\u5206\u4e3a5\u7c7b\uff1aA\u578b\uff0892.5%\uff09\u4e3a\u76f4\u63a5\u5206\u4e3a\u5de6\u53f3\u652f\uff1bB\u578b\uff082.5%\uff09\u4e3a\u4e3b\u5e72\u4e09\u5206\u53c9\uff1a\u5de6\u652f\u3001\u53f3\u524d\u3001\u53f3\u540e\uff1bC\u578b\uff082.5%\uff09\u4e2d\u53f3\u540e\u652f\u76f4\u63a5\u4ece\u95e8\u8109\u4e3b\u5e72\u5206\u51fa\uff0c\u968f\u5373\u624d\u5206\u51fa\u5de6\u652f\u548c\u53f3\u524d\u652f\uff1bD\u578b\uff081.7%\uff09\u4e2d\u53f3\u524d\u652f\u4ece\u5de6\u652f\u5206\u51fa\uff1bE\u578b\uff080.8%\uff09\u76f4\u63a5\u5206\u51fa\u5404\u6bb5\u5206\u652f\u3002<\/p>\n
Nakamura\u7b49\u63d0\u51fa\u7684\u95e8\u9759\u8109\u5206\u7c7b<\/p>\n
Gageacu S\u7b49\u5c06\u95e8\u9759\u8109\u5206\u4e3a4\u578b\uff08\u5c11\u4e86\u4e0a\u8ff0E\u578b\uff09\uff0c\u5e76\u7edf\u8ba1\u4e86\u5404\u7c7b\u578b\u5206\u7c7b\uff0c\u6700\u5e38\u89c1\u7684\u662f\u4e24\u5206\u53c9\uff0c\u503c\u5f97\u6ce8\u610f\u7684\u662fRPPV\u81ea\u4e3b\u5e72\u5206\u51fa\u7684\u6bd4\u4f8b\u4e5f\u5360\u52308.9%\u3002\uff08\u4e0d\u8fc7\u5728\u4e34\u5e8a\u4e2d\u6211\u8fd8\u672a\u89c1\u8fc7\u6b64\u7c7b\u578b\uff0c\u4e0d\u77e5\u662f\u4e0d\u662f\u4eba\u79cd\u95ee\u9898\uff1f\uff09<\/p>\n
Bageacu S\u7b49\u7edf\u8ba1\u7684\u4e0d\u540c\u95e8\u9759\u8109\u5206\u578b\u4e0e\u6bd4\u4f8b<\/p>\n
3\u3001\u53f3\u524d\u533a\u95e8\u9759\u8109\u7684\u89e3\u5256<\/p>\n
1)\u7adc\u5d07\u6b63\u6559\u6388<\/p>\n
\u5728\u7b2c\u4e00\u90e8\u5206\u4e2d\u66fe\u63d0\u5230\uff0c\u4ed6\u8ba4\u4e3a\u53f3\u524d\u533a\u809d\u810f\u5e76\u975e\u6309\u7167\u4e0a\u4e0b\u5173\u7cfb\u5206\u4e3aV\/VIII\u6bb5\uff0c\u800c\u662f\u524d\u540e\u5173\u7cfb\u5206\u4e3a\u524d\u8179\u6bb5\u548c\u524d\u80cc\u6bb5\uff0c\u524d\u8179\u6bb5\u56de\u6d41\u5230\u809d\u4e2d\u9759\u8109\uff0c\u524d\u80cc\u6bb5\u56de\u6d41\u5230\u809d\u53f3\u9759\u8109\u3002\u901a\u5e38\u8179\u4fa7\u652f\u4ece\u524d\u533a\u652f\u524d\u7aef\u5206\u4e3a1-3\u6761\u7c97\u652f\uff0c\u4ece\u4e2d\u67a2\u4fa7\u524d\u533a\u5206\u4e3a1-3\u6761\u7ec6\u652f\uff0c\u80cc\u4fa7\u652f\u4ece\u524d\u533a\u652f\u524d\u7aef\u5206\u4e3a1-2\u6761\u7c97\u652f\uff0c\u4ece\u4e2d\u67a2\u4fa7\u524d\u533a\u652f\u5206\u4e3a1-3\u6761\u7ec6\u652f\uff08\u5373\u524d\u8179\u548c\u524d\u80cc\u7684\u7c97\u652f\u90fd\u662f\u4ece\u524d\u533a\u5206\u51fa\uff0c\u7ec6\u652f\u4ece\u4e2d\u67a2\u4fa7\u5206\u51fa\uff09\u3002<\/p>\n
2)\u9ad8\u5b89\u5206\u7c7b<\/p>\n
Takayasu\u7b49\u5728CT\u4e0a\u5c06S8\u6bb5\u95e8\u9759\u8109\u652f\u5206\u4e3a4\u4e2a\u4e9a\u533a\u652f\uff1aP8a\uff08\u8179\u652f\uff0cventral branch\uff09\u3001P8b\uff08\u80cc\u5916\u652f\uff0cdorso-lateral branch\uff09\u3001P8c\uff08\u80cc\u652f\uff0cdorsal-branch\uff09\u53caP8d\uff08\u5185\u652f\uff0cmedial branch\uff09\u3002\u3010\u5373\u524d\u8179\u540e\u80cc\u548c\u5de6\u53f3\u3011P8c\u5728\u5934\u4fa7\u8de8\u8fc7\u809d\u53f3\u9759\u8109\uff08RHV\uff09\uff0c\u4e5f\u652f\u914d\u5728\u6a2a\u8188\u819c\u9876\u6b63\u4e0b\u65b9\u7684\u53f3\u53f6\u80cc\u4fa7\u533a\u3002P8d\u4e0e\u5c3e\u72b6\u53f6\u8154\u9759\u8109\u65c1\u652f\uff08paracaval branch\uff0cPc\uff09\u7684\u5173\u7cfb\u5c1a\u5f85\u8ba8\u8bba\u3002\u6574\u4f53\u6765\u8bf4\uff0cP8d\u548cP8d\u90fd\u6bd4\u8f83\u7ec6\uff0c\u56e0\u6b64\u53ef\u4ee5\u7b80\u5355\u8ba4\u4e3aP8\u4e5f\u662f\u5206\u4e3a\u8179\u4fa7\u548c\u80cc\u4fa7\u652f\u3002<\/p>\n
Akio Saiura\u7b49\u901a\u8fc7\u4e09\u7ef4\u91cd\u5efa\u5f52\u7eb3\u4e86\u5e38\u89c1\u7684P5\u548cP8\u7684\u5206\u652f\u65b9\u5f0f\uff0cP8\u7684\u5206\u652f\u65b9\u5f0f\u4e3b\u8981\u67094\u79cd\uff08\u5373\u4e0a\u8ff0\u7684\u8179\u80cc\u5185\u5916\u652f\u5e76\u975e\u4e00\u5b9a\u4f1a\u51fa\u73b0\uff09\uff0cP5\u6839\u636e\u5176\u8d77\u59cb\u90e8\u67095\u79cd\uff0c\u89c1\u4e0b\u56fe\u3002<\/p>\n
Akio Saiura\u7b49\u63d0\u51fa\u7684P5\uff0cP8\u5206\u7c7b\uff08RLT\u4e3aright lateral trunk\uff0c\u53f3\u540e\u652f\uff09<\/p>\n
\u3010\u5176\u5b9e\u8fd9\u91ccP8\u7684\u5206\u7c7b\u4e0eTakayasu\u7684\u5f88\u50cf\uff0c\u53734\u79cdP8\u5206\u652f\u5e76\u975e\u4e00\u5b9a\u51fa\u73b0\uff0c\u4f46\u8179\u80cc\u4fa7\u652f\u90fd\u6709\u3011<\/p>\n
\u5b9e\u9645\u4e0a\u5f88\u591a\u65f6\u5019\u5e76\u975e\u662f\u56fa\u5b9a\u67d0\u4e00\u578b\uff0c\u5982P5\u7684\u591a\u6761\u5206\u652f\u53ef\u4ee5\u540c\u65f6\u6db5\u76d6a\u3001b\u3001c\u3001d\u3001e\u7b49\u591a\u79cd\u7c7b\u578b\uff08\u89c1\u4e0b\u56fe\uff09\u3002<\/p>\n
\u4e09\u7ef4\u91cd\u5efa\u56fe\u50cf\u663e\u793a\u7684\u4e0d\u540cP8\u3001P5\u7c7b\u578b<\/p>\n
\u9664\u4e86\u4f20\u7edf\u7684Couinaud\u5206\u6bb5\uff0c\u4e5f\u6709\u5176\u4ed6\u4e00\u4e9b\u5206\u7c7b\u65b9\u5f0f\uff0c\u5982\u4e0b\u9762\u8fd9\u79cd\u7b97\u662f\u6839\u636e\u95e8\u9759\u8109\u5206\u578b\u5c06\u53f3\u524d\u533a\u57df\u8fdb\u884c\u8fdb\u4e00\u6b65\u5212\u5206\uff0ca.\u4e3a\u5934\u5c3e\u4fa7\uff0cb.\u4e3a\u8179\u80cc\u4fa7\uff0cc.\u4e09\u5206\u7c7b\uff0cd.\u56db\u5206\u7c7b\u3002<\/p>\n
4\u3001\u53f3\u540e\u533a\u95e8\u9759\u8109\u89e3\u5256<\/p>\n
\u95e8\u9759\u8109\u53f3\u540e\u652f\uff08PP\/RPPV\uff09\u4ece\u6839\u90e8\u5411\u5934\u4fa7\u4f5c\u5f13\u72b6\u8d70\u5f62\u3002\u7adc\u5d07\u6b63\u6559\u6388\u5c06\u5176\u6839\u636e\u4fa7\u652f\u7684\u6570\u76ee\u5206\u4e3a3\u578b\uff1aA\u578b\uff0833%\uff09\u53ea\u67091\u6761\u4fa7\u652fPPa\uff0cB\u578b\uff0838%\uff09\u67092\u6761\u4fa7\u652fPPa\u548cPPb\uff0cC\u578b\uff0829%\uff09\u67093\u6761\u4fa7\u652fPPa\u3001PPb\u548cPPc\u3002<\/p>\n
\u8fd8\u662fAkio Saiura\u7b49\u901a\u8fc7\u4e09\u7ef4\u91cd\u5efa\u5f52\u7eb3\u4e86\u5e38\u89c1\u7684\u53f3\u540e\u652f\u7684\u5206\u652f\u65b9\u5f0f\uff0c\u4e0e\u4e0a\u6587\u4e2d\u7adc\u5d07\u6b63\u6559\u6388\u7684\u603b\u7ed3\u7565\u6709\u4e0d\u540c\uff0c\u4e3b\u8981\u5206\u4e3a\u4ee5\u4e0b\u4e09\u7c7b\uff1aA\u7c7b\u662f\u5f13\u5f62\uff0c\u6839\u636eP6\u7684\u6570\u76ee\u53c8\u7ec6\u5206\u4e3a3\u5c0f\u578b\uff1a2\u6761P6\u7684A-1\u578b\uff0c3\u6761P6\u7684A-2\u578b\uff0c4\u6761\u6216\u66f4\u591aP6\u7684A-3\u578b\u3002B\u578b\u662f\u4e8c\u5206\u53c9\u578b\uff0c\u5373\u5206\u51faP6\u548cP7\uff0c\u6839\u636eP6\u7684\u5206\u51fa\u8d77\u59cb\u90e8\u8ddd\u79bb\u4e3b\u5e72\u7684\u60c5\u51b5\u5206\u4e3aB-1\u548cB-2\u3002C\u578b\u662f\u4e09\u5206\u53c9\u578b\u3002<\/p>\n
Akio Saiura\u7b49\u5bf9\u53f3\u540e\u652f\u7684\u5206\u578b\uff0c\u5176\u4e2dA\u3001B\u578b\u6700\u591a<\/p>\n<\/p>\n<\/p>\n
\u4e09\u7ef4\u91cd\u5efa\u4e2dP6\u3001P7<\/p>\n<\/p>\n
Takayuki Minami\u7b49\u63d0\u51fa\u7684RPPV\u5206\u578b\uff0c\u4e0eAkio Saiura\u7b49\u7684\u4e00\u81f4\u3002Takayuki Minami\u7b49\u8fd8\u63d0\u51faRPPV\u5206\u578b\u4e0eRHV\uff08\u809d\u53f3\u9759\u8109\uff09\u5206\u578b\u6beb\u65e0\u5173\u8054<\/p>\n
\u6700\u540e\u518d\u770b\u51e0\u5f20\u4e2d\u5c71\u4e09\u9662\u5f20\u5f64\u6559\u6388\u62cd\u6444\u7684\u89e3\u5256\u56fe\u7247\uff1a<\/p>\n<\/p>\n
5\u3001\u9759\u8109\u56de\u6d41<\/p>\n
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\u53c2\u8003\u6587\u732e\uff1a<\/p>\n
[1]Singh M, Prasad N. The anatomy of Rouviere’s sulcus as seen during laparoscopic cholecystectomy: A proposed classification. J Minim Access Surg. 2017;13(2):89-95.<\/p>\n
[2]P\u00e9r\u00e9 G, Benvegnu V, Merc\u00e9 C, Maulat C, Carr\u00e8re N, Lopez R. The sulcus of the caudate process (Rouviere’s sulcus): anatomy and clinical applications-a review of current literature. Surg Radiol Anat. 2020 Dec;42(12):1441-1446. Epub 2020 Jul 17.<\/p>\n
[3]Cmpeanu I , Bjenaru N , Puaecaaeu A . a lesser-known hepatic anatomical and surgical structure: the rouviere-gans incisura (rgi) original article[J]. 2018.<\/p>\n
[4]\u300a\u809d\u810f\u7684\u5916\u79d1\u89e3\u5256:\u4ee5\u95e8\u9759\u8109\u5206\u6bb5\u4e3a\u57fa\u7840\u809d\u810f\u65b0\u5206\u6bb5\u6cd5\u7684\u601d\u8def\u300b (\u65e5)\u7adc\u5d07\u6b63 \u7b49\u7f16\u8457<\/p>\n
[5]Nakamura Taro,Tanaka Koichi,Kiuchi Tetsuya et al. Anatomical variations and surgical strategies in right lobe living donor liver transplantation: lessons from 120 cases.[J] .Transplantation, 2002, 73: 1896-903.<\/p>\n
[6]Bageacu S, Abdelaal A, Ficarelli S, Elmeteini M, Boillot O. Anatomy of the right liver lobe: a surgical analysis in 124 consecutive living donors. Clin Transplant. 2011 Jul-Aug;25(4):E447-54.<\/p>\n
[7]Ichida Hirofumi,Imamura Hiroshi,Yoshioka Ryuji et al. Re-evaluation of the Couinaud classification for segmental anatomy of the right liver, with particular attention to the relevance of cranio-caudal boundaries.[J] .Surgery, 2021, 169: 333-340.<\/p>\n
[8]Cazauran, Jean-Baptiste et al. Anatomy of the Right Anterior Sector of the Liver and Its Clinical Implications in Surgery. Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract vol. 22,10 (2018): 1819-1831.<\/p>\n
[9]Minami T, Ebata T, Yokoyama Y, Igami T, Mizuno T, Yamaguchi J, Onoe S, Watanabe N, Nagino M. Study on the Segmentation of the Right Posterior Sector of the Liver. World J Surg. 2020 Mar;44(3):896-901.<\/p>\n
[10]\u674e\u76f8\u6210, \u9a86\u6668\u6b22, \u5b59\u745c,\u7b49. \u8179\u8154\u955c\u809d\u53f3\u540e\u533a\u5207\u9664\u672f\u7684\u5173\u952e\u6280\u672f\u4e0e\u7b56\u7565[J]. \u4e2d\u534e\u666e\u5916\u79d1\u624b\u672f\u5b66\u6742\u5fd7\uff1a\u7535\u5b50\u7248, 2019, 13(3):4.<\/p>\n
[11]\u674e\u4e91\u5cf0, \u5c39\u65b0\u6c11. \u8179\u8154\u955c\u89e3\u5256\u6027\u809d\u2166\u6bb5\u5207\u9664\u672f\u7684\u96be\u70b9\u4e0e\u5e94\u5bf9\u7b56\u7565[J]. \u4e2d\u534e\u6d88\u5316\u5916\u79d1\u6742\u5fd7, 2021, 20(2):6.<\/p>\n","protected":false},"excerpt":{"rendered":"
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