Pelloni A, Gertsch P
Service de chirurgie, Ospedale San Giovanni, Bellinzona, Suisse.
Ann Chir. 2000 Sep;125(7):660-4. doi: 10.1016/s0003-3944(00)00259-5.
In the case of complete occlusion of the coeliac trunk, the hepatic and splenic arterial blood supply is ensured by the superior mesenteric artery. Interruption of this collateral circulation by pancreaticoduodenectomy carries a risk of hepatic ischaemia and anastomotic leaks. In addition to the various techniques of coeliac trunk revascularization, preservation of the gastroduodenal artery and pancreaticoduodenal arcades may help to preserve the arterial blood supply. The authors report the case of a 58-year-old female with a benign tumour of the pancreatic head and partially corrected coeliac trunk occlusion. Pancreaticoduodenectomy was performed with preservation of the pancreaticoduodenal arcades and gastroduodenal artery.
在腹腔干完全闭塞的情况下，肠系膜上动脉可确保肝脏和脾脏的动脉血供。胰十二指肠切除术中断这种侧支循环会带来肝缺血和吻合口漏的风险。除了各种腹腔干血管重建技术外，保留胃十二指肠动脉和胰十二指肠动脉弓可能有助于维持动脉血供。作者报告了一例58岁女性患者，患有胰头良性肿瘤且腹腔干闭塞部分得到纠正。在保留胰十二指肠动脉弓和胃十二指肠动脉的情况下实施了胰十二指肠切除术。
