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Laparoscopic ligation of an aneurysm of the left gastric artery
A Sasaki1, T Bandoh, N Shiraishi
1Department of Surgery I, Oita Medical University, Japan.
Insights
Laparoscopic ligation effectively treated a left gastric artery aneurysm causing retroperitoneal hemorrhage. This minimally invasive approach offers a safe and useful option for elective aneurysm surgery.
Area of Science:
- Vascular Surgery
- Minimally Invasive Procedures
- Gastrointestinal Anatomy
Background:
- Aneurysms of the left gastric artery are rare but can lead to significant complications such as retroperitoneal hemorrhage.
- Traditional open surgery for such aneurysms carries inherent risks and longer recovery times.
Observation:
- A patient presented with epigastric pain and diagnosed retroperitoneal hemorrhage via computed tomography.
- Celiac angiography identified a 1.0 cm fusiform aneurysm at the trunk of the left gastric artery.
Findings:
- Laparoscopic ligation of the left gastric artery aneurysm was successfully performed, with the artery secured proximally and distally to the aneurysm.
- The patient experienced an uneventful postoperative recovery following the laparoscopic procedure.
Implications:
- Laparoscopic surgery demonstrates feasibility and efficacy for treating left gastric artery aneurysms.
- This minimally invasive technique may represent a valuable alternative for elective management of left gastric artery aneurysms, potentially reducing patient morbidity.
Abstract:
We describe the laparoscopic ligation of an aneurysm of the left gastric artery. The patient was admitted to the hospital with epigastric pain, and computed tomography showed a retroperitoneal hemorrhage. Celiac angiography showed a fusiform-type aneurysm 1.0 cm in diameter at the trunk of the left gastric artery. The left gastric artery was ligated at sites proximal and distal to the aneurysm under laparoscopy, and the patient's postoperative course was uneventful. Laparoscopic surgery appears useful for elective surgery of an aneurysm in the left gastric artery.
