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

(1)腹主动脉丛内及周围淋巴管(2000-2001)：解剖身体标本，观察(1)腹腔丛与肠干的关系；(2)从胰头后表面的结节(编号13)沿肝总动脉(编号8)至腹主动脉周围(编号16)的集淋巴管。我们还用人胎儿腹部内脏的半连续切片检查了腹神经丛周围的淋巴管和结节。这些结果支持了(I)扩大D2淋巴清扫用于根治性胰腺十二指肠癌手术的可靠性，(Ii)16A2结间组的活检，通常接受来自腹丛和隔脚的传入。(2)主韧带的自主神经(2002)：常规解剖、新鲜身体解剖和原位断层解剖相结合的方法显示：(I)主韧带(CL)不含盆腔内脏神经(PSN)；(Ii)CL区的底部或背缘存在明确的筋膜结构；(3)盆丛与CL的血管成分分离。本研究结果为保留神经的根治性子宫切除术广泛宫旁CL的广泛切除提供了新的视角。

(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.