肠旋转不良情况下的胰十二指肠切除术
Pancreaticoduodenectomy in the setting of intestinal malrotation.
作者信息
Plackett Timothy P, Takamori Ryan, Izawa Mark
机构信息
Department of Surgery, Tripler Army Medical Center, Honolulu, HI, USA.
出版信息
Hawaii Med J. 2011 Nov;70(11):237-8.
Abstract
Malrotation is an intestinal gestational disorder which not only affects the positioning of the midgut, but also its vascular supply. While this is generally thought of as a pediatric surgical condition, it can have significant implications for adult surgeries as well. Herein we present a patient with asymptomatic nonrotation of the midgut with a concomitant pancreatic adenocarcinoma. The authors review the modifications necessary to perform a pancreaticoduodenectomy in a nonrotated patient. The review includes a caution and emphasis on an understanding of the vascular anatomic variants.
摘要
肠旋转不良是一种肠道先天性疾病，不仅影响中肠的位置，还影响其血供。虽然通常认为这是一种小儿外科疾病，但它对成人手术也可能有重大影响。在此，我们报告一例伴有胰腺腺癌的无症状中肠未旋转患者。作者回顾了在未旋转患者中进行胰十二指肠切除术所需的手术改良。该回顾包括对血管解剖变异的理解的注意事项和强调。
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