臨床外科67巻13号

2012年12月発行

特集 本当は怖い 臓器解剖変異―外科医が必ず知っておくべき知識

胃癌手術において重要な動脈の破格

著者： 山下裕玄¹ 瀬戸泰之¹

所属機関： ¹東京大学医学部附属病院胃食道外科

ページ範囲：P.1504 - P.1509

文献概要

【ポイント】

◆精度の高いリンパ節郭清には血管の走行を術前に把握しておくことが重要で，動脈破格の知識も必須である．

◆Adachi分類のⅠ型4群が最も頻度の高い血管破格であるが，太い左副肝動脈の場合はほかの破格の可能性も考えたほうがよい．

◆右胃動脈の起始部は多様であり，十二指腸切離を先行すると多様性に対応でき，根部処理が容易になる．

参考文献

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