Fascia Around The Stomach Of Anatomy In The Clinical Significance Of Gastric Cancer Radical Prostatectomy

Objection：Through the anatomy and observation of the organizational structureof the fascia around the stomach and anatomic location, the research is aimed atanalyzing its association with the surrounding blood vessels, lymphatic, transversecolon, omental bursa, spleen, duodenum, pancreas and adjacent tissues and organsaround.Analyzing the clinical significance of fascia of complete resection of adjacenttissues and organs in the gastric cancer radical cleaning, the study preliminarilydiscusses the location of the fascia in gastric cancer radical dissection and its clinicalsignificance in gastric cancer radical prostatectomy.Methods：1. Through the anatomy of the7full abdomen body specimen,withthe purpose of analyzing and observing the organizational structure of the fasciaaround the stomach and anatomic location through the anatomy and to observe theassociation with the surrounding blood vessels,lymphatic, transverse colon, omentalbursa, spleen, duodenum, pancreas and adjacent tissues and organs around.2.Takingthe fascia and the surrounding related organization line section of preservation andobserving the microscopic cell structure of the membrane and its with the surroundingthe microstructure distribution of retinal vascular tissues under the microscope.3.Byobserving clinical traditional open and laparoscopic gastric cancer radical clinicalactual gastric cancer radical surgery it not observes and analyses the fascia ofcomposition, structure, level structure, clearance, distribution situation but alsounderstands the actual tumor cells around the stomach the fascia of the invasion andspread of distribution.Results：(1)Gastric fascia around including stomach ventral mesangial andstomach dorsal mesangial stomach ventral mesangial including hepatoduodenalligament, liver stomach ligament, gastric omental sac.stomach dorsal mesangialincluding the spleen, stomach, colon, stomach ligament ligament diaphragmaticligament plica of pancreas, stomach, liver pancreas plica, transverse mesocolonfusion fascia and omental sac.(2)the anatomical measurement hepatoduodenalligament length in25.743+/-0.49mm (14.50~35.21mm), wide32.29+/-0.56mm (20.24~46.48mm), thickness20.37+/-0.29mm(13.71~31.32mm);Liver stomachligament length36.72+/-0.37mm (30.94~45.78mm);Stomach diaphragmatic ligament44.51+/-0.87mm (38.48~58.54mm);Stomach spleen ligament38.76+/-0.36mm(32.17~44.52mm);Gastrocolic ligament51.27+/-0.42mm (47.63~55.39mm),Treitzligament length42.23+/-0.47mm (37.63~50.25mm).(3) The organizationmicroscope of fascia around the stomach shows that the most composition ofstomach belt fascia tissue is mesothelial cells,and then the support and maintain afixed position of the connective tissue composes a layer of membrane(including:HDL, the, GHL, GDL, GCL, gastric pancreatic plica, fusion fascia and omental sacmost fascia tissue)and a small amount of smooth muscle fibers and connective tissuemake up Closely ligament (Treitz ligament).（4）Vascular sheath surrounding fasciais encircled the artery branch line into the membrane of different disciplines, fasciatissue distribution on the outer edge of the vascular adventitia, and vascular intimakeep a certain gap, which has contorts the tiny lymphatic network organization andthe nerve fibers.Conclusion：(1)the transverse edge of gastrocolic ligament is the preferreddissection surgery entering into the gap between lobe of transverse mesocolon naturalanatomy.(2)Transverse mesocolon fusion fascia space between the lobes is theimportant surgical plane behind the stomach dissection.In this plane of dissectionsurgery,the omental bursa constituted by stomach dorsal mesangial derivatives can becompletely removed.(3) gastropancreatic ligament is the peritoneal fold between thehead of pancreas and After distal gastric wall.GPL must be broken when freeingpylorus and the wall after the duodenal bulb.Along the gap between the gastricantrum at the upper rim of the head of pancreas and pancreatic head at the upper edgeclearance cutting appetizing pancreatic ligaments the stomach duodenum ligamentcan be found in its interior.Pancreatic stomach ligament can be used as positioning themark of gastroduodenal artery.(4)The connection between the pancreatic body and theleft hepatic lobe dirty surface of liver pancreas fold, liver pancreas fold, commonhepatic artery can be found, the position is relatively constant.(5)Stomach cancersurgery superficial fascia and vascular sheath lymph cleaning for security reasonsbest keep vascular sheath of cleaning,while the deep lymphatic cleaning can take the thin layer gap between vascular sheath and outer membrane as the interface ofstripping the anatomy and vascular sheath and main lymph node should be removedas far as possible.In brief lymph node cleaning for gastric cancer radical surgeryshould not only clear belong to lymph node invasion of blood vessels and tumortissue,but also should completely clear the complete fascia which cannot makecontact with the healthy tissue on the outside of the lymphoid tissue,in order toachieve requirements that the whole lump can be removed.The complete removal ofthe fascia around the stomach has important and positive significance in thecomplete resection of gastric cancer surgery and in the spread and recurrence of thetumor in prevention of postoperative.