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1、SupracolicCompartment结肠上区LingShucaiRegionalanatomyRelationshipsofabdominalvisceraFirstlayer-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。)
2、RelationshipsofthestomachAnterior:Live(rightpart)Diaphragm(leftupperpart)Anteriorabdominalwall(leftlowerpart)Posterior-separatedbyperitonumoflessersacfromthefollowing(“stumach-bed”)PancreasLeftsuprarenalglandLeftkidneySpleenTransversecolonandtransversmesoclonArteriesofstomachLeftandri
3、ghtgastricarteriesarisefromceliactrunkandproperhepaticartery,repectively.Thesetwovesselsruninlesseromentumalonglessercurvature,andanastomoseend-to-end.Rightandleftgastroepiploicarteriesarisefromthegastroduodenalandsplenicartery,repectively.Shortgastricarteries,branchesofsplenicartery,
4、coursethroughthegastrosplenicligamentandsupplythefundusofstomach.Posteriorgastricartery(72%)arisefromthesplenicartery,coursethroughthegastrophrenicligamentandsupplytheposteriorwalloffundusofstomach.VenousdrainageofstomachRightandleftgastricveinsemptydirectlyintohepaticportalvein.Leftg
5、astroepiploicandshortgastricveinsdrainintohepaticportalveinviathesplenicvein.Rightgastroepiploicveinjoineithersuperiormesentericvein.LymphaticsofstomachRightandleftgastricln.liealongthesamevesselsandfinallytotheceliacln.Rightandleftgastroomentalln.liealongthesamevessels,theformerdrain
6、intosubpyloricln.,thelatterdrainintosplinicln.Supra-andsubpyloricln.receivelymphaticsfrompyloricpartandfinallytotheceliacln.Splenicln.receivelymphaticsfromfundusandleftthirdofstomach,andfinallytotheceliacln.InnervationofstomachParasympatheticinnervationbyanterior(left)andposterior(rig
7、ht)vagaltrunksTheanteriortrunkdividesintoanteriorgastricandhepaticbranchesTheposteriortrunkdividesintoposteriorgastricandceliacbranches“crow’sfoot”tosupplythepyloricpartSympatheticinnervationMainlyfromceliacgangliaAffentandeffentfibersderivesfromthoracicsegments(T5-L1)Relationshipsoft
8、hethe