Picquet J, Miot S, Abraham P, Venara A, Papon X, Fournier H D, Mercier P H
Anatomy laboratory, UFR Médecine, 49045 Cedex Angers, France.
Surg Radiol Anat. 2006 May;28(2):180-4. doi: 10.1007/s00276-005-0066-8. Epub 2005 Dec 9.
The internal iliac arteries (IIA), and especially the distal segment, course very deep in the pelvis and are generally difficult to access surgically. The recent development of simple and reliable methods to investigate proximal ischemia of the lower extremities has led to discovery of more candidates for elective revascularization of the IAA. The classic approaches to the IAA, i.e., the transperitoneal and homolateral retroperitoneal routs have certain disadvantages. We present a new crossed retroperitoneal approach to the IAA and the results of such method in six cadavers. In all six cases, the entire IAA could be exposed without any particular problems. This novel approach to the IAA seems to be both simple and reproducible.
髂内动脉（IIA），尤其是其远端，在骨盆内走行非常深，手术中通常难以触及。近年来，用于研究下肢近端缺血的简单可靠方法不断发展，使得更多适合髂内动脉选择性血运重建的患者被发现。经典的髂内动脉入路，即经腹腔和同侧腹膜后入路，存在一定的缺点。我们介绍一种新的髂内动脉交叉腹膜后入路及其在6具尸体上的应用结果。在所有6例中，均可顺利暴露整个髂内动脉，未出现任何特殊问题。这种新的髂内动脉入路似乎既简单又可重复。
