Shintakuya Ryuta, Kohashi Toshihiko, Nakashima Akira, Oishi Koichi, Honmyo Naruhiko, Hihara Jun, Kagawa Eisuke, Mukaida Hidenori
Department of Surgery, Hiroshima City Asa Citizens Hospital, Hiroshima, Japan.
Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Science, Hiroshima University, Hiroshima, Japan.
ANZ J Surg. 2021 Dec;91(12):2824-2826. doi: 10.1111/ans.17007. Epub 2021 Jun 28.
To decrease complications associated with the treatment of coeliac axis (CA) stenosis due to median arcuate ligament (MAL) syndrome in pancreaticoduodenectomy, we performed combined preoperative endovascular stenting and intraoperative MAL resection. This technique can secure the CA blood flow to the hepatic artery before surgery in one stage and prevent CA restenosis and stent dislocation because there is no extrinsic compression of the CA after MAL resection.
为减少胰十二指肠切除术中因正中弓状韧带（MAL）综合征导致的腹腔干（CA）狭窄治疗相关并发症，我们实施了术前血管内支架置入与术中MAL切除相结合的方法。该技术可在术前一次性确保CA向肝动脉的血流，并防止CA再狭窄和支架移位，因为MAL切除后CA不再受到外部压迫。
