Satoh H, Morisaki T, Kishikawa H
Department of Surgery, Wakamatsu Municipal Hospital, Kitakyushu, Japan.
Jpn J Surg. 1989 Mar;19(2):241-5. doi: 10.1007/BF02471594.
A rare case of an iatrogenic aneurysm of the common hepatic artery which ruptured into the remnant stomach is described herein. The patient had undergone a radical gastrectomy with regional lymphadenectomy one month previously. The iatrogenic surgical trauma to the common hepatic artery incurred during the regional lymphadenectomy with the resection of the perivascular lymphatics and neural plexuses, was considered as the main cause responsible for the postoperative aneurysmal development.
本文描述了一例罕见的肝总动脉医源性动脉瘤破裂至残胃的病例。患者一个月前接受了根治性胃切除术及区域淋巴结清扫术。区域淋巴结清扫术中切除血管周围淋巴管和神经丛时对肝总动脉造成的医源性手术创伤,被认为是术后动脉瘤形成的主要原因。