局部解剖学 结肠上区 (英文).pptx

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SupracolicCompartment

结肠上区Regionalanatomy

RelationshipsofabdominalvisceraFirstlayer-live,gallbladder,stomach(肝、胆囊、胃)Secondlayer-duodenum,pancreas,spleen(十二指肠、胰、脾)Thirdlayer-suprarenalgland,kidney,ureter,inferiorvenacava,abdominalaorta,nervesandlymphatics(肾上腺、肾、输尿管、下腔静脉、腹主动脉等。)

RelationshipsofthestomachAnterior:Live(rightpart)Diaphragm(leftupperpart)Anteriorabdominalwall(leftlowerpart)Posterior-separatedbyperitonumoflessersacfromthefollowing(“stumach-bed”)PancreasLeftsuprarenalglandLeftkidneySpleenTransversecolonandtransversmesoclon

ArteriesofstomachLeftandrightgastricarteriesarisefromceliactrunkandproperhepaticartery,repectively.Thesetwovesselsruninlesseromentumalonglessercurvature,andanastomoseend-to-end.

Rightandleftgastroepiploicarteriesarisefromthegastroduodenalandsplenicartery,repectively.Shortgastricarteries,branchesofsplenicartery,coursethroughthegastrosplenicligamentandsupplythefundusofstomach.Posteriorgastricartery(72%)arisefromthesplenicartery,coursethroughthegastrophrenicligamentandsupplytheposteriorwalloffundusofstomach.

VenousdrainageofstomachRightandleftgastricveinsemptydirectlyintohepaticportalvein.Leftgastroepiploicandshortgastricveinsdrainintohepaticportalveinviathesplenicvein.Rightgastroepiploicveinjoineithersuperiormesentericvein.

LymphaticsofstomachRightandleftgastricln.liealongthesamevesselsandfinallytotheceliacln.Rightandleftgastroomentalln.liealongthesamevessels,theformerdrainintosubpyloricln.,thelatterdrainintosplinicln.Supra-andsubpyloricln.receivelymphaticsfrompyloricpartandfinallytotheceliacln.Splenicln.receivelymphaticsfromfundusandleftthirdofstomach,andfinallytotheceliacln.

InnervationofstomachParasympatheticinnervationbyanterior(left)andposterior(right

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