Anatomical Study of Human Autonomic Nervous System and Lymphatic System with Whole-mount Staining

(1)腹腔丛内和周围的淋巴管（2000-2001年）：我们解剖了死后处理的尸体标本，并检查了（i）腹腔神经丛与肠干的关系，以及（ii）起源于胰头后表面上的淋巴结的淋巴收集管（No.13）和沿着肝总动脉（No.8）进入腹主动脉周围结节（No.16）。我们还观察了腹腔神经丛周围的淋巴管和淋巴结与半连续切片的人胎儿的腹部脏器。这些结果支持（i）扩大D2淋巴结切除术用于胰十二指肠区域癌症根治性手术的可靠性，以及（ii）16 a2组-淋巴结间活检的可靠性，其经常接受来自腹腔神经丛和神经丛的传入。(2)主韧带内的自主神经（2002）：结合常规解剖、新鲜尸体解剖和原位断层解剖发现：（i）主韧带（CL）不含盆内脏神经（PSN）;（ii）CL区底部或背侧缘存在明确的筋膜结构;和（iii）盆丛与CL的血管成分分离。本研究结果为保留神经的广泛子宫切除术和广泛的外侧子宫旁切除术提供了一个新的视角。

(1) Lymphatics in and around the Celiac Plexus (2000-2001) : We dissected postmortem-treated cadaveric specimens and examined (i) relationship between the celiac plexus and the intestinal trunk, and (ii) lymphatic collecting vessels originated from the nodes on the posterior surface of the pancreatic head (No.13) and along the common hepatic artery (No.8) into the nodes around the abdominal aorta (No.16). We also examined the lymphatic vessels and nodes around the celiac plexus with semi-serial sections of the human fetuses' abdominal viscera. These results support the reliability of (i) the extended D2 lymphadenectomy for curative cancer surgery in the pancreaticoduodenal region, and (ii) biopsy of the group 16a2-inter node, which often received afferents from the celiac plexus and diaphragmatic crus.(2) Autonomic Nerve in the Cardinal Ligament (2002) : A combination of routine dissection, fresh cadaver dissection and in situ sectional anatomy revealed that : (i) the cardinal ligament (CL) did not contain the pelvic splanchnic nerve (PSN) ; (ii) a well-defined fascial structure existed in the bottom or dorsal margin of the CL area; and (iii) the pelvic plexus was separated from vascular components of the CL. The present results provide a new perspective for nerve-sparing radical hysterectomy with extensive lateral parametrial dissection of the CL.