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开放性盆腔淋巴结清扫术中医源性髂外动脉破裂:经腹下动脉转位成功修复

Iatrogenic external iliac artery disruption during open pelvic lymph node dissection: successful repair with hypogastric artery transposition.

作者信息

Lazzeri M, Benaim G, Turini D, Beneforti P, Turini F

机构信息

Department of Urology, University of Ferrara, Italy.

出版信息

Scand J Urol Nephrol. 1997 Apr;31(2):205-7. doi: 10.3109/00365599709070332.

DOI:10.3109/00365599709070332
PMID:9165589
Abstract

We report the first case of a wide, iatrogenic, proximal disruption of the right external iliac artery, occurring during staging open lymph node dissection for prostate cancer, which was repaired by hypogastric artery transposition. The hypogastric artery was mobilized and rotated anteriorly, and sutured to the distal segment of the external iliac artery. This is a feasible, innovative and safe technique which permits, by a single anastomosis, the secure reconstruction of a vascular axis to the leg when other procedures are not accessible.

摘要

我们报告了首例在前列腺癌分期开放性淋巴结清扫术中发生的右侧髂外动脉广泛性医源性近端断裂病例,该病例通过腹下动脉转位进行修复。将腹下动脉游离并向前旋转,然后缝合至髂外动脉远端。这是一种可行、创新且安全的技术,当无法采用其他方法时,通过单次吻合即可安全地重建至下肢的血管轴。

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