Kawamura Keiichiro, Hashimoto Munetaka, Sato Hiroko, Horii Shinichiro, Kosaka Atsumi, Tamate Yoshihisa, Goukon Yuji
Department of Vascular Surgery, Iwate Prefectural Isawa Hospital, Oshu, Iwate, Japan.
Division of Vascular Surgery, Department of Surgery, Soma General Hospital, Soma, Fukushima, Japan.
Ann Vasc Dis. 2025;18(1). doi: 10.3400/avd.cr.24-00091. Epub 2025 Feb 12.
We report a case of a 68-year-old female patient with an 8-mm right gastric artery aneurysm. The attempt at endovascular treatment was unsuccessful and therefore the patient underwent laparoscopic surgery for the resection of the unruptured right gastric artery aneurysm. The postoperative course was uneventful, and the patient is currently under observation as an outpatient. Although endovascular treatment is the first choice for treatment of unruptured right gastric aneurysms, laparoscopic surgery offers advantages such as less invasiveness, anatomical accessibility, and the ability to perform histopathological examination, making it an effective treatment option when endovascular treatment is difficult.
我们报告一例68岁女性患者,患有8毫米的右胃动脉动脉瘤。血管内治疗尝试未成功,因此该患者接受了腹腔镜手术以切除未破裂的右胃动脉动脉瘤。术后病程平稳,患者目前作为门诊病人接受观察。尽管血管内治疗是未破裂右胃动脉瘤治疗的首选,但腹腔镜手术具有侵袭性较小、解剖可达性好以及能够进行组织病理学检查等优点,使其成为血管内治疗困难时的一种有效治疗选择。