Xia Tao, Zhou Jia-Yu, Mou Yi-Ping, Xu Xiao-Wu, Zhou Yu-Cheng, Huang Chao-Jie, Zhang Ren-Chao, Lu Chao, Chen Rong-Gao, Xu Yun-Yun
a Department of Surgery , Zhejiang University School of Medicine , Hangzhou , Zhejiang Province , China.
b Department of Gastrointestinal-Pancreatic Surgery , Zhejiang Provincial Peoples' Hospital , Hangzhou , Zhejiang Province , China.
Minim Invasive Ther Allied Technol. 2017 Feb;26(1):56-59. doi: 10.1080/13645706.2016.1223696. Epub 2016 Sep 6.
Celiac trunk aneurysms (CTAs) are rare and usually asymptomatic. Although most of these aneurysms can be treated with percutaneous embolization, some uncommon locations of the aneurysm may make this approach impossible. We report a patient with a celiac trunk aneurysm (CTA) and a proximal splenic artery aneurysm (SAA). Due to the size and location of these two aneurysms, after multidisciplinary discussion, endovascular management was considered inappropriate and they were treated by laparoscopic ligation of the two aneurysms and revascularization. This procedure offers good postoperative recovery with good preservation of the visceral function. Some collateral vessels in the viscera were obvious on postoperative day 7.
腹腔干动脉瘤(CTA)较为罕见,通常无症状。尽管这些动脉瘤大多可通过经皮栓塞治疗,但动脉瘤的一些不常见位置可能使这种方法无法实施。我们报告了一例患有腹腔干动脉瘤(CTA)和脾动脉近端动脉瘤(SAA)的患者。由于这两个动脉瘤的大小和位置,经过多学科讨论,认为血管内治疗不合适,于是通过腹腔镜结扎这两个动脉瘤并进行血管重建来治疗。该手术术后恢复良好,内脏功能得以良好保留。术后第7天,内脏中的一些侧支血管明显可见。