多排螺旋 CT 和超声检查在右胃网膜动脉 CABG 术后行腹腔镜胆囊切除术患者术前规划中的应用。
Utility of multidetector-row computed tomography and ultrasonography for preoperative planning in a patient with a history of a right gastroepiploic artery CABG undergoing a laparoscopic cholecystectomy.
机构信息
Department of Surgery, Division of Clinical Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
出版信息
J Gastrointest Surg. 2011 Sep;15(9):1651-3. doi: 10.1007/s11605-011-1523-9. Epub 2011 Apr 12.
INTRODUCTION
Laparoscopic cholecystectomy has become the standard procedure for acute cholecystitis.
METHODS
This procedure, however, is challenging to perform in patients who have had coronary artery bypass grafting (CABG) using the right gastroepiploic artery (RGEA).
RESULTS
We completed a laparoscopic cholecystectomy for acute cholecystitis without intraoperative or postoperative cardiac complications in a patient with a history of an RGEA CABG.
CONCLUSIONS
A critical factor for avoiding disruption to the graft was preoperatively delineating the vascular anatomy of the RGEA graft with a multidetector-row computed tomography (CT) with 3D-CT angiography and ultrasonography.
简介
腹腔镜胆囊切除术已成为急性胆囊炎的标准治疗方法。
方法
然而，对于使用右胃网膜动脉（RGEA）进行过冠状动脉旁路移植术（CABG）的患者，该手术具有挑战性。
结果
我们成功为一名 RGEA CABG 病史的患者进行了腹腔镜胆囊切除术，术中及术后均无心脏并发症。
结论
避免移植物受损的关键因素是术前使用多排螺旋 CT（MDCT）进行三维 CT 血管造影和超声检查，明确 RGEA 移植物的血管解剖结构。
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