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成功施行胃网膜右血管先天性缺如的食管胃吻合术：1例报告

Successful Undergoing Esophagogastric Anastomosis with Right Gastroepiploic Vessels Congenital Absence: A Case Report.

作者信息

Guan Tinghua, Qiao Guobing, Cheng Shengke, Zheng Yifeng

机构信息

Department of Thoracic Surgery, The General Hospital of Western Theater Command, Chengdu, Sichuan Province, People's Republic of China.

出版信息

Int Med Case Rep J. 2024 Jun 11;17:593-596. doi: 10.2147/IMCRJ.S471750. eCollection 2024.

DOI:10.2147/IMCRJ.S471750
PMID:38883244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11179659/
Abstract

A 60-year-old male farmer was admitted to the hospital with dysphagia for 2 months, and minimally invasive McKeown esophagectomy with lymphadenectomy was initially planned. However, congenital absence of the right gastroepiploic vessels (RGEVs) was blocked surgical procedure. Fortunately, we successfully performed esophagectomy and unconventional gastric remnant reconstruction without RGEVs, and intraoperative cervical venous superdrainage.

摘要

一名60岁男性农民因吞咽困难2个月入院，最初计划行微创McKeown食管切除术并淋巴结清扫术。然而，先天性右胃网膜血管缺如阻碍了手术进程。幸运的是，我们成功实施了食管切除术，在无右胃网膜血管的情况下进行了非常规的胃残余重建，并进行了术中颈静脉超级引流。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eee/11179659/7a4cbafc685a/IMCRJ-17-593-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eee/11179659/92f827d30551/IMCRJ-17-593-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eee/11179659/7a4cbafc685a/IMCRJ-17-593-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eee/11179659/92f827d30551/IMCRJ-17-593-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1eee/11179659/7a4cbafc685a/IMCRJ-17-593-g0002.jpg

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本文引用的文献

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National and subnational trends in cancer burden in China, 2005-20: an analysis of national mortality surveillance data.中国 2005-20 年的癌症负担的国家和省级趋势：基于国家死亡率监测数据的分析。
Lancet Public Health. 2023 Dec;8(12):e943-e955. doi: 10.1016/S2468-2667(23)00211-6.
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Gastric conduit reconstruction after esophagectomy with right gastroepiploic artery absence: a case report.无右胃网膜动脉的食管癌切除术后胃管道重建：一例报告
J Surg Case Rep. 2023 Aug 14;2023(8):rjad474. doi: 10.1093/jscr/rjad474. eCollection 2023 Aug.
3
Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint.
食管癌切除术的围手术期处理：从麻醉学角度的叙述性综述
J Thorac Dis. 2021 Oct;13(10):6037-6051. doi: 10.21037/jtd-21-940.
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Simultaneous Vascular Reconstruction and Cervical Anastomosis in McKeown Esophagectomy.麦克唐纳食管癌切除术中的同步血管重建与颈部吻合术
Front Surg. 2021 Apr 8;8:646811. doi: 10.3389/fsurg.2021.646811. eCollection 2021.
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Gastric remnant reconstruction with left gastroepiploic artery supercharge after esophagectomy in a patient with an occluded right gastroepiploic artery: A technical and case report.右胃网膜动脉闭塞患者食管癌切除术后用左胃网膜动脉进行胃残余重建：技术与病例报告
Int J Surg Case Rep. 2021 May;82:105876. doi: 10.1016/j.ijscr.2021.105876. Epub 2021 Apr 8.
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Successful Cervical Esophageal Reconstruction Using Gastric Conduit Without Gastroepiploic Artery.成功使用胃管进行无胃网膜血管的颈段食管重建。
Ann Thorac Surg. 2019 Jun;107(6):e409-e410. doi: 10.1016/j.athoracsur.2018.09.068. Epub 2018 Nov 14.
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Surgical anatomy of the right gastro-omental artery: a study on 100 cadaver dissections.胃网膜右动脉的外科解剖学：一项对100例尸体解剖的研究。
Surg Radiol Anat. 2018 Apr;40(4):415-422. doi: 10.1007/s00276-017-1951-7. Epub 2017 Dec 5.
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Anatomical and surgical evaluation of gastroepiploic artery.胃网膜动脉的解剖学与外科学评估
Okajimas Folia Anat Jpn. 2016;92(3-4):49-52. doi: 10.2535/ofaj.92.49.
9
Gastroenteric tube feeding: techniques, problems and solutions.胃肠管饲：技术、问题与解决方法
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Expanding the applications of microvascular surgical techniques to digestive surgeries: a technical review.将微血管外科技术的应用扩展到消化系统手术中：技术综述。
Surg Today. 2012 Jan;42(2):111-20. doi: 10.1007/s00595-011-0032-5. Epub 2011 Nov 10.