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髂外动脉切除术后行腹下动脉转位以恢复动脉血流

Hypogastric Artery Transposition to Restore the Arterial Flow after Resection of the External Iliac Artery.

作者信息

Joh Jin Hyun, Choi Sung-Il, Kim Sang-Hyun, Park Ho-Chul

机构信息

Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

出版信息

Vasc Specialist Int. 2014 Sep;30(3):91-3. doi: 10.5758/vsi.2014.30.3.91. Epub 2014 Sep 30.

DOI:10.5758/vsi.2014.30.3.91
PMID:26217624
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4480292/
Abstract

Tumors in the pelvic cavity frequently involve the iliac vessels. Common and external iliac arteries should be reconstructed to restore the flow to the lower extremity if the tumor directly invades these arteries. We report herein a 58-year-old female patient with a 10×11 cm, recurred uterine leiomyosarcoma. We performed en bloc resection of the tumor mass including the sigmoid colon, left ureter and 5 cm of the left external iliac artery. After complete resection, restoration of arterial flow to the lower extremity was made with a novel strategy of hypogastric artery transposition. There was no evidence of tumor recurrence or vascular insufficiency at 12 months after surgery.

摘要

盆腔肿瘤常累及髂血管。如果肿瘤直接侵犯髂总动脉和髂外动脉，应重建这些动脉以恢复下肢血流。我们在此报告一名58岁女性患者，患有10×11 cm的复发性子宫平滑肌肉瘤。我们对肿瘤块进行了整块切除，包括乙状结肠、左输尿管和5 cm的左髂外动脉。完整切除后，采用一种新的策略——腹下动脉转位，恢复了下肢的动脉血流。术后12个月没有肿瘤复发或血管功能不全的迹象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/488f/4480292/5fd287e36c36/vsi-30-91f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/488f/4480292/5fd287e36c36/vsi-30-91f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/488f/4480292/5fd287e36c36/vsi-30-91f1.jpg

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本文引用的文献

1
Complex venous and arterial reconstruction with deep vein after pelvic exenterative surgery: a case report.盆腔脏器切除术后复杂静脉及动脉与深静脉重建：一例报告
Am Surg. 2006 Jan;72(1):22-4.
2
Experience with femoro-popliteal vein as a conduit for vascular reconstruction in infected fields.股腘静脉作为感染区域血管重建管道的经验。
Eur J Vasc Endovasc Surg. 2003 May;25(5):424-31. doi: 10.1053/ejvs.2002.1853.
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Radical resection of a malignant mesenchymoma with hypogastric artery transposition.采用腹下动脉转位术根治性切除恶性间叶瘤。
J Surg Oncol. 2002 Aug;80(4):214-7. doi: 10.1002/jso.10121.
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Mechanism of late prosthetic vascular graft infection.
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Iatrogenic external iliac artery disruption during open pelvic lymph node dissection: successful repair with hypogastric artery transposition.开放性盆腔淋巴结清扫术中医源性髂外动脉破裂：经腹下动脉转位成功修复
Scand J Urol Nephrol. 1997 Apr;31(2):205-7. doi: 10.3109/00365599709070332.
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Complete external iliac artery disruption after percutaneous aortic valvuloplasty in two young children: successful repair with hypogastric artery transposition.两名幼儿经皮主动脉瓣成形术后发生完全性髂外动脉中断：采用髂内动脉转位成功修复。
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