维普中文期刊产品整合服务

Technical tailoring of pancreaticoduodenectomy in patients with hepatic artery anatomic variants

查看全文 作　　者：Cristian [1,2]Lupascu;Dan [1]Andronic;Corina [3]Ursulescu;Ciprian [1]Vasiluta;Nutu [1]Vlad 高影响力作者 机构地区：[1]First Surgical Unit 'Gr.T.Popa' University of Medicine and Pharmacy Iasi,'St.Spiridon' Hospital,Independentei Bld.1,700111 Iasi,Romania;[2]Imaging Department ,'Gr.T.Popa' University of Medicine and Pharmacy Iasi,'St.Spiridon' Hospital,Independentei Bld.1,700111 Iasi,Romania;[3]Imaging Department 'Gr.T.Popa' University of Medicine and Pharmacy Iasi,'St.Spiridon' Hospital,Independentei Bld.1,700111 Iasi,Romania高影响力机构 出　　处：《Hepatobiliary & Pancreatic Diseases International》索引2011年第10卷第6期,共6页高影响力期刊 摘　　要：BACKGROUND:Pancreaticoduodenectomy is the treatment of choice for periampullary and pancreatic head tumors.In case of hepatic artery abnormalities,early pancreatic transection during pancreaticoduodenectomy may prove inappropriate Early retroportal lamina dissection improves exposure of the superior mesenteric vessels and anatomic variants of the hepatic artery,where safeguarding is mandatory.METHOD:We describe our early retroportal lamina approach in patients with anatomic variants of the hepatic artery before pancreatic transection.RESULTS:This approach was used during 42 pancreatico duodenectomies with a hepatic artery anatomic variant which was spared in 40 patients.Arterial reconstruction was performed in 2 patients.Five patients with a hepatic artery variant and adenocarcinoma involving the portomesenteric junction required venous resection and reconstruction.CONCLUSIONS:Early retroportal lamina dissection during pancreaticoduodenectomy in patients with hepatic artery anatomic variants enables easier exposure,avoiding injuries that might compromise the liver arterial supply.When the portomesenteric vein is involved,this approach facilitates en bloc 'no touch' venous resection and reconstruction. 关 键 词：PANCREATICODUODENECTOMY HEPATIC ARTERY ANATOMIC VARIANTS
相关文献

参考文献(25)

引证文献(4)

耦合文献(22)

网站首页 | 关于我们 | 联系我们 | 产品服务 | 客服中心 | 广告服务 | 版权声明 | 网站联盟 | 友情链接 | 售卡网点

版权所有© 渝B2-20050021-1　渝公网安备 50019002500403号　违法和不良信息举报中心

互联网出版许可证 新出网证(渝)字10号 全国400电话 - 免长途话费