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[腹腔镜治疗脾动脉瘤]

[Laparoscopic Treatment of Splenic Artery Aneurysm].

作者信息

Ellebrecht David Benjamin, Horn Marco, Pross Moritz, Keck Tobias, Kleemann Markus

机构信息

Klinik für Chirurgie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Deutschland.

Klinik für Orthopädie und Unfallchirurgie, Robert-Bosch-Krankenhaus, Stuttgart, Deutschland.

出版信息

Zentralbl Chir. 2019 Oct;144(5):445-448. doi: 10.1055/a-0874-2545. Epub 2019 Jul 3.

Abstract

OBJECTIVE

Visceral artery aneurysms are a rare but dangerous vascular pathology. The branches of the coeliac trunc are most frequently affected, especially the splenic artery. A visceral aneurysm is usually diagnosed only when a bleeding complication occurs due to rupture. It is therefore recommended to treat this pathology at an early stage after diagnosis. Endovascular elimination is the preferred procedure. However, if endovascular elimination is not suitable, the visceral aneurysm can be successfully treated by minimally invasive surgery.

INDICATIONS

Splenic artery aneurysms are located at the splenic hilum, and are therefore considered to be at high risk of splenic ischemia and secondary complications following endovascular coiling.

PROCEDURE

Laparoscopic treatment of splenic artery aneurysm.

CONCLUSION

In the case of complex vascular pathologies unsuitable for an endovascular approach, laparoscopic treatment of splenic artery aneurysm is a safe and effective minimally invasive option and alternative.

摘要

目的

内脏动脉瘤是一种罕见但危险的血管病变。腹腔干的分支最常受累,尤其是脾动脉。内脏动脉瘤通常仅在因破裂发生出血并发症时才被诊断出来。因此,建议在诊断后尽早治疗这种病变。血管内消除是首选的治疗方法。然而,如果血管内消除不适用,内脏动脉瘤可以通过微创手术成功治疗。

适应症

脾动脉瘤位于脾门,因此被认为在血管内栓塞后有很高的脾缺血和继发并发症风险。

手术方法

腹腔镜治疗脾动脉瘤。

结论

对于不适合血管内治疗的复杂血管病变,腹腔镜治疗脾动脉瘤是一种安全有效的微创选择和替代方法。

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