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[结肠上区手术中膈弓状韧带对腹腔干的压迫]

[Compression of the celiac trunk by the diaphragmatic arcuate ligament during supramesocolonic surgery].

作者信息

Ducerf C, Rode A, De la Roche E, Beck F, Adham M, Berthoux N, Baulieux J

机构信息

Service de Chirurgie Générale Digestive et Transplantation Hépatique, Hôpital de la Croix-Rousse, Lyon.

出版信息

Ann Chir. 1998;52(6):495-502.

PMID:9752497
Abstract

Coeliac stenosis induced by arcuate ligament compression is usually asymptomatic. Current caution is advised during a supramesocolonic surgical procedure in the case of a collateral arterial system due to coeliac stenosis. 11 cases of coeliac stenosis are described. 3 patients underwent duodenopancreatic resection, 8 patients had liver transplantation. 2 patients died after complications due to celiac, stenosis. These cases are described. The authors discuss the diagnostic and therapeutic approach.

摘要

由弓状韧带压迫引起的腹腔干狭窄通常无症状。对于因腹腔干狭窄而存在侧支动脉系统的患者,在结肠上区手术过程中建议谨慎操作。本文描述了11例腹腔干狭窄病例。3例患者接受了十二指肠胰腺切除术,8例患者进行了肝移植。2例患者因腹腔干狭窄并发症死亡。对这些病例进行了描述。作者讨论了诊断和治疗方法。

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