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1
Preservation of replaced or accessory right hepatic artery during pancreaticoduodenectomy for adenocarcinoma: impact on margin status and survival.在胰十二指肠切除术治疗腺癌时保留替换或副肝右动脉：对切缘状态和生存的影响。
J Gastrointest Surg. 2010 Nov;14(11):1813-9. doi: 10.1007/s11605-010-1272-1. Epub 2010 Aug 10.
2
The implications of the presence of an aberrant right hepatic artery in patients undergoing a pancreaticoduodenectomy.胰十二指肠切除术中异常右肝动脉存在的影响。
Surg Today. 2009;39(8):669-74. doi: 10.1007/s00595-009-3947-3. Epub 2009 Jul 29.
3
[Anatomical variation of the donor hepatic arteries: analysis of 843 cases].[供体肝动脉的解剖变异：843例分析]
Nan Fang Yi Ke Da Xue Xue Bao. 2007 Aug;27(8):1164-6.
4
Accessory right hepatic artery arising from the left: implications for split liver transplantation.起源于左侧的副肝右动脉：对劈离式肝移植的影响
Transplantation. 1998 Sep 27;66(6):792-4. doi: 10.1097/00007890-199809270-00014.
5
Liver infarction following unrecognized right hepatic artery ligation at laparoscopic cholecystectomy.腹腔镜胆囊切除术中未识别右肝动脉结扎后发生肝梗死
Abdom Imaging. 1994 Jan-Feb;19(1):53-4. doi: 10.1007/BF02165862.
6
Sparing a replaced common hepatic artery during pancreaticoduodenectomy.在胰十二指肠切除术中保留被置换的肝总动脉。
Am Surg. 1993 Nov;59(11):719-21.

副肝右动脉及其对外科医生的意义。

Accessory right hepatic artery and its implications for a surgeon.

作者信息

Madhu Y C, Harish K

机构信息

M.S. Ramaiah Curie Centre of Oncology, M.S. Ramaiah Medical College, Bangalore, Karnataka India.

出版信息

Indian J Surg. 2013 Jun;75(Suppl 1):492-4. doi: 10.1007/s12262-013-0893-5. Epub 2013 Mar 14.

DOI:10.1007/s12262-013-0893-5
PMID:24426657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3693355/
Abstract

INTRODUCTION

Accessory hepatic artery is an incidental finding during hepatobiliary, pancreatic surgery and may be found during hepatic transplantation surgery on angiogram. This artery should be carefully identified & preserved during these surgeries.

CASE REPORT

A case of accessory right hepatic artery found incidentally during pancreatico duodenectomy [whippels procedure] identified, dissected carefully & preserved.

DISCUSSION

Anomalous hepatic vasculature is a rare incidental finding during hepatobiliary-pancreatic surgery. These anomalies or accessory hepatic arteries should be identified, carefully preserved to prevent inadvertent injury, torrential bleeding & hepatic necrosis .preservation of these anomalous vasculature will not compromise oncological margin.

摘要

引言

副肝动脉是在肝胆、胰腺手术中偶然发现的，在肝移植手术的血管造影中也可能被发现。在这些手术过程中，应仔细识别并保留该动脉。

病例报告

在胰十二指肠切除术（惠普尔手术）中偶然发现一例副右肝动脉，对其进行了仔细识别、解剖并保留。

讨论

异常的肝血管系统是肝胆胰手术中罕见的偶然发现。这些异常或副肝动脉应被识别并仔细保留，以防止意外损伤、大出血和肝坏死。保留这些异常血管系统不会影响肿瘤切缘。