El-Ghazaly Harb Shady T, O'Sullivan Adrian W, Marangoni Gabriele, Heaton Nigel D, Rela Mohamed
Institute of Liver Studies, Kings College Hospital, London, UK.
JOP. 2009 Sep 4;10(5):547-9.
Coeliac artery stenosis is a condition affecting a minority of patients undergoing pancreaticoduodenectomy. In such cases, the development of collateral pathways through the blood supply of the pancreatic head provides challenges for surgical management.
We report a case of coeliac artery stenosis in a patient undergoing pancreaticoduodenectomy. The main blood supply for the coeliac axis was through a single collateral channel, formed by the anterior pancreaticoduodenal arterial arcade. We describe the preservation of this arcade, resection of the redundant artery with primary anastomosis and a review of the literature.
Management of coeliac artery stenosis during pancreaticoduodenectomy depends on identifying the cause and dealing with it accordingly, intraoperatively.
腹腔干狭窄是一种影响少数接受胰十二指肠切除术患者的病症。在这种情况下，通过胰头血供形成的侧支循环通路的发展给手术管理带来了挑战。
我们报告了一例接受胰十二指肠切除术患者的腹腔干狭窄病例。腹腔干的主要血供通过由胰十二指肠前动脉弓形成的单一侧支通道。我们描述了该动脉弓的保留、多余动脉的切除及一期吻合，并对文献进行了综述。
胰十二指肠切除术中腹腔干狭窄的管理取决于术中识别病因并相应地进行处理。
