层次解剖：再谈腹部外科这一古老的解剖概念

陈孝平; 张占国

doi:10.3760/cma.j.issn.1673-9752.2016.01.003

层次解剖：再谈腹部外科这一古老的解剖概念

430030 武汉，华中科技大学同济医学院附属同济医院外科学系

基金项目: 基金项目：〖HTSS〗湖北省公益性科技研究项目(2014BKB089)

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出版历程

Layered anatomy: an ancient concept of abdominal surgery mentioned again

Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

摘要

摘要:
层次解剖是一个既古老又新颖的词汇，最早衍生于局部解剖的概念。层次解剖是基于局部解剖及胚胎发育生物学而来的概念。随着腹腔镜及机器人等外科手术设备的发展，要求外科手术出血量更少、解剖更精细、术后恢复更快、复发率更低等。因此，层次解剖再次被外科医师重视。腹腔内的各个脏器均是由不同层次结构的不同组织构成，其间多是结构疏松并乏血管的结缔组织。按照层次进行解剖，可以避免外科学上缺少解剖概念的“整块”切除，而达到完全切除病灶和保护周围正常组织免受损伤的最好手术效果。
- 层次解剖 /
- 腹部外科 /
- 胚胎发育学 /
- 局部解剖学
Abstract:
Layered anatomy is a both ancient and novel conception, which is derived from topographic anatomy. Topographic anatomy and phylembryogenesis are basic academic knowledges of layered anatomy. With the development of laparoscopic surgery and robotic surgery, less bleeding, more meticulous dissection, faster postoperative recovery and lower recurrence rate are required in surgical operation, because of which layered anatomy is mentioned and valued again. Organs in abdominal cavity are composed of different layered tissues, between them are loose connective tissues which are poor in vessels. Layered anatomy in surgical operation can avoid the “en bloc” dissection of organs, which not only reach total lesion dissection, but also avoid hurting surrounded normal tissues, showing the best surgical results.
- Layered anatomy /
- Abdominal surgery /
- Phylembryogenesis /
- Topographic ana tomy