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腹腔镜手术中需注意的腹腔干分支形态:一例使用MDCT血管造影的病例报告

Branching form of celiac artery to be aware of in laparoscopic surgery: A case report using MDCT angiography.

作者信息

Bekki Tomoaki, Fukuda Toshikatsu, Moriuchi Toshiyuki, Namba Yosuke, Okimoto Sho, Mukai Syoichiro, Saito Yasufumi, Oishi Kouichi, Tanabe Kazuaki, Ohdan Hideki

机构信息

Department of Surgery, Chugoku Rosai Hospital, Hirotagaya 1-5-1, Kure, Hiroshima, Japan.

Department of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

出版信息

Radiol Case Rep. 2020 Dec 17;16(3):476-479. doi: 10.1016/j.radcr.2020.12.019. eCollection 2021 Mar.

DOI:10.1016/j.radcr.2020.12.019
PMID:33363686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7753074/
Abstract

The anomalies of the celiac artery have been reported and reviewed in literature. Hence, it is not uncommon to clinically encounter its various types. This report presents the case of a 76-year-old male who underwent laparoscopic distal gastrectomy. Preoperative abdominal contrast-enhanced computed tomography showed an anomaly of the celiac artery, which was extremely rare, with various other anomalies of the artery.

摘要

文献中已报道并综述了腹腔干的异常情况。因此,临床上遇到其各种类型并不罕见。本报告介绍了一例76岁男性接受腹腔镜远端胃切除术的病例。术前腹部增强CT显示腹腔干存在一种极为罕见的异常情况,同时还伴有该动脉的其他各种异常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/69a556434570/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/9d45f7cba338/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/442fedd9100e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/69a556434570/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/9d45f7cba338/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/442fedd9100e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a5f/7753074/69a556434570/gr3.jpg

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本文引用的文献

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Clin Anat. 2020 Nov;33(8):1249-1262. doi: 10.1002/ca.23576. Epub 2020 Feb 18.
2
Successful laparoscopic distal gastrectomy with D2 lymph node dissection preserving the common hepatic artery branched from the left gastric artery for advanced gastric cancer with an Adachi type VI (group 26) vascular anomaly.成功实施腹腔镜远端胃癌根治术并进行D2淋巴结清扫,保留源自胃左动脉的肝总动脉,用于治疗具有安达智VI型(26组)血管异常的进展期胃癌。
Surg Case Rep. 2016 Dec;2(1):55. doi: 10.1186/s40792-016-0182-1. Epub 2016 Jun 3.
3
Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography.
利用数字减影血管造影术观察腹腔干和肝动脉系统的解剖变异
Turk J Gastroenterol. 2014 Dec;25 Suppl 1:104-9. doi: 10.5152/tjg.2014.5406.
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The celiac axis revisited: anatomic variants, pathologic features, and implications for modern endovascular management.再探腹腔干:解剖变异、病理特征及其对现代血管内治疗的意义
Radiographics. 2015 May-Jun;35(3):879-98. doi: 10.1148/rg.2015140243. Epub 2015 Apr 17.
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Anatomical variations in the origins of the celiac axis and the superior mesenteric artery: MDCT angiographic findings and their probable embryological mechanisms.腹腔干和肠系膜上动脉起源的解剖变异:MDCT血管造影表现及其可能的胚胎学机制。
Eur Radiol. 2014 Aug;24(8):1777-84. doi: 10.1007/s00330-014-3215-9. Epub 2014 May 24.
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