Stabilini L, Brigli G, Doria F, Bonomo A, Bisio M
Divisione di Chirurgia Generale, Novi Ligure (Alessandria), USSL n. 73, Ospedale S. Giacomo.
Minerva Chir. 1993 Sep 15;48(17):955-9.
The authors report about a case of celiac axis obliteration, noticed during an operation of pancreaticoduodenectomy for pancreatic formation. The arterial flux of sovramesocolic district took place completely through the gastroduodenal artery. To complete the operation the authors were obliged to stop the circulation of the pancreaticoduodenal artery and to rivascular the common hepatic through bypass with aorta. The authors confirm the importance of arteriography for the study of expansive lesions of the pancreas, liable to surgical treatment as well to avoid treating urgently similar cases or due to anatomic variants.
作者报告了一例在因胰腺病变行胰十二指肠切除术时发现的腹腔干闭塞病例。结肠上区的动脉血流完全通过胃十二指肠动脉。为完成手术，作者不得不阻断胰十二指肠动脉的血流，并通过与主动脉搭桥对肝总动脉进行血管重建。作者证实了血管造影对于研究胰腺扩张性病变的重要性，此类病变易于接受手术治疗，同时也有助于避免因解剖变异而对类似病例进行紧急治疗。
