Division of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Royal Surrey County Hospital, Guildford, UK.
HPB (Oxford). 2007;9(6):466-9. doi: 10.1080/13651820701713741.
Patients with coeliac artery occlusion often remain asymptomatic due to the rich collateral blood supply (pancreaticoduodenal arcades) from the superior mesenteric artery. However, division of the gastroduodenal artery (GDA) during pancreaticoduodenectomy may result in compromised blood supply to the liver, stomach and spleen. Postoperative complications associated with this condition are rarely reported in the literature. We report two cases of coeliac artery occlusion encountered during pancreaticoduodenectomy, one of which was complicated by hepatic ischaemia and total gastric infarction postoperatively. Based on our experience and review of the literature, a management algorithm for coeliac artery stenosis encountered during pancreaticoduodenectomy is proposed.
由于肠系膜上动脉丰富的侧支循环（胰十二指肠弓），腹腔动脉闭塞的患者通常无症状。然而，在胰十二指肠切除术时胃十二指肠动脉（GDA）的分离可能导致肝脏、胃和脾脏的血液供应受损。这种情况下的术后并发症在文献中很少报道。我们报告了 2 例在胰十二指肠切除术中发现的腹腔动脉闭塞，其中 1 例术后发生肝缺血和全胃梗死。根据我们的经验和文献复习，提出了胰十二指肠切除术中遇到腹腔动脉狭窄的处理算法。
