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目的:掌握回结肠肠段的静脉配布及其特点,以指导回结肠代食管术的实施。方法:大体解剖观察50例尸体回盲部、升结肠、横结肠的静脉配布及边缘吻合。结果:①静脉配布较恒定;②右结肠静脉主干短,多数呈多属支状,属支间于结肠缘吻合少;③右结肠静脉与中结肠静脉间3例边缘吻合中断。结论:右结肠静脉的结扎必须在主干进行。
OBJECTIVE: To master the distribution of veins and its characteristics in the colon and intestine, in order to guide the implementation of colon esophageal surgery. Methods: Fifty cases of ileocecal cadaveric herniation, ascending colon, transverse colon vein distribution and edge anastomosis were observed. Results: (1) The distribution of veins was relatively constant; (2) The trunk of the right colonic vein was short and most of the branches were mostly branch-shaped with less anastomosis between the branches of the colon; (3) the marginal anastomosis between the right colonic vein and the middle colonic vein was interrupted. Conclusion: Ligation of the right colon vein must be performed in the trunk.