Egorov V I, Iashina N I, Fedorov A V, Vishnevskiĭ V A, Karmazanovskiĭ G G, Shevchenko T V
Khirurgiia (Mosk). 2009(11):4-9.
137 CT-angiograms of arterial celiac-mesenterial vessels were pro- and retrospectively analyzed in 120 patients. Radiological data was compared with intraoperative anatomy during standard and extended pancreatoduodenal resections. The analysis showed a considerable variability in architecture of celiac and superior mesenteric artery branches: hereby, a classical arterial anatomy was found only on 55% of the analyzed CT-scans. Intraoperative revision confirmed CT-data in all cases. CT-angiography is a prompt and reliable method of celiac-mesenterial arterial anatomy determination, making surgical treatment of patients with liver and pancreas diseases safer.
对120例患者的137份腹腔干-肠系膜动脉CT血管造影进行了前瞻性和回顾性分析。将放射学数据与标准和扩大胰十二指肠切除术中的术中解剖结构进行了比较。分析显示腹腔干和肠系膜上动脉分支的结构存在相当大的变异性：据此，仅在55%的分析CT扫描中发现经典的动脉解剖结构。术中检查在所有病例中均证实了CT数据。CT血管造影是一种快速可靠的确定腹腔干-肠系膜动脉解剖结构的方法，可使肝脏和胰腺疾病患者的手术治疗更安全。
