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腹腔镜胆囊切除术后右肝动脉假性动脉瘤 1 例报告。

Right hepatic artery pseudoaneurysm post laparoscopic cholecystectomy A case report.

出版信息

Ann Ital Chir. 2022 Sep 5;11:S2239253X22025439.

Abstract

Right hepatic artery pseudoaneurysm following laparoscopic cholecystectomy is rare, but its rupture is common. It carries a high mortality rate if not successfully timely managed. In laparoscopic era, surgeons and physicians in general must be aware of this entity and its therapy. Conservative management is not recommended due to the propensity to rupture. Treatment consists on reconstructive surgery or ligation, but coil embolization is the treatment of choice nowadays and should be done without delay. KEY WORDS: Cholecystectomy, Embolization, Laparoscopy, Pseudoaneurysm rupture, Right hepatic artery.

摘要

腹腔镜胆囊切除术后肝右动脉假性动脉瘤罕见,但破裂常见。如果不能及时成功处理,其死亡率很高。在腹腔镜时代,外科医生和一般医生都必须了解这一实体及其治疗方法。由于有破裂的倾向,不建议采用保守治疗。治疗包括重建手术或结扎,但目前首选的治疗方法是线圈栓塞,应毫不拖延地进行。

关键词

胆囊切除术;栓塞;腹腔镜检查;假性动脉瘤破裂;肝右动脉。

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