如何操作：在胰十二指肠切除术中针对正中弓状韧带综合征合并腹腔干狭窄进行血管内支架置入及韧带切除术。
How to do it: endovascular stent and ligament resection during pancreaticoduodenectomy for coeliac axis stenosis in median arcuate ligament syndrome.
作者信息
Shintakuya Ryuta, Kohashi Toshihiko, Nakashima Akira, Oishi Koichi, Honmyo Naruhiko, Hihara Jun, Kagawa Eisuke, Mukaida Hidenori
机构信息
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.
出版信息
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。
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