Song Zuodong, Ye Ting, Ma Longfei, Shao Longlong, Lin Dong, Jiang Shujun, Xiang Jiaqing
Department of Thoracic Surgery, Shanghai Cancer Center, Fudan University, Shanghai, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Department of Thoracic Surgery, Shanghai Cancer Center, Fudan University, Shanghai, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China.
Ann Thorac Surg. 2016 Nov;102(5):e387-e388. doi: 10.1016/j.athoracsur.2016.04.039.
Studies have shown that splenic artery ligation without splenectomy can successfully control hemorrhage and preserve the spleen in splenic trauma. The short gastric arteries and left gastroepiploic arteries may be the most important part of the collateral blood supply to the spleen. Moreover, that the human spleen can also survive even if most of the short gastric arteries have been ligated along with the splenic artery has also been proven. Revascularization of the spleen by collateral vessels from the superior mesenteric, pancreatic, and left inferior phrenic arteries has been demonstrated by celiac angiography. Thus, splenic artery ligation could be also an alternative to splenectomy for iatrogenic spleen injury in esophagectomy operations.
研究表明，在脾外伤中，不进行脾切除术而结扎脾动脉可成功控制出血并保留脾脏。胃短动脉和胃网膜左动脉可能是脾脏侧支血供的最重要部分。此外，即使大部分胃短动脉与脾动脉一起被结扎，人类脾脏仍能存活也已得到证实。通过腹腔血管造影已证实，肠系膜上动脉、胰动脉和膈下左动脉的侧支血管可使脾脏再血管化。因此，在食管切除术中，对于医源性脾损伤，结扎脾动脉也可能是脾切除术的一种替代方法。
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