关键词: 腹腔镜, 胰十二指肠切除术, 血管, 筋膜, 应用解剖

Abstract: 【Abstract】 Objective To explore the anatomic characteristics of the related blood vessels and fascia in laparoscopic pancreatoduodenectomy (LPD) and to provide the anatomical basis for laparoscopic anatomical location and operating approach. Methods Specimens were provided by Southern Medical University Department of anatomy..The blood vessels distribution and the fascial spaces,.the communication and the relationship to adjacent were observed and described. Results The space before and behind the body of the pancreas and its extension are two major surgical planes. The fusion fascia and fascia space behinal the pancreas were the natural plane of laparoscopic surgical operation. Any deviation whould result injury of nearby blood vessels and organs..LPD along the surgical plane, especially the using of Kocher incision approach,.could fully embody the operation principle of no damage and a radical cure in cancer. The important blood vessels supplying pancreas duodenum were located in the fascia and pancreas parenchyma,.which should be paid more attention to protect the blood vessels near by pancreas duodenal and maintain the integrity of fascia in LPD. Conclusion Understanding of related LPD anatomy characteristics of blood vessels and fascia can provide morphologic basis for laparoscopic surgery in the design and specification of LPD, so as to improve the safety of laparoscopic operation and completeness of radical cure.

Key words: Laparoscope, Pancreatoduodenectomy, Blood vessel, Fascia, Clinical anatomy