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皮埃洛塑性手术期间偶然发现罕见的血管变异及其临床影响 - - 病例报告
Deepak Prakash Bhirud1, Shashank Shekhar Tripathi, Amit Aggarwal
1Department of Urology, AIIMS, Jodhpur, Rajasthan, India.
Journal of minimal access surgery
|February 10, 2024
概括
先天性盆腔结口阻塞 (PUJO) 可能是由血管交叉引起的. 偶尔在PUJO的腹腔镜喷塑过程中发现了一种罕见的变异,涉及辅助脏和淋巴管血管.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管解剖学 血管解剖学
- 手术创新 在外科创新.
背景情况:
- 盆腔结阻塞 (PUJO) 经常与血管交叉有关.
- 先天性PUJO通常涉及附属的下极血管,尽管它们的致病作用并不总是明确的.
研究的目的:
- 在对先天性PUJO进行腹腔镜整形时,报告偶然发现复杂的血管异常.
- 强调识别生殖尿道血管变异的重要性,以预防手术并发症.
主要方法:
- 对于先天性PUJO,进行 laparoscopic pyeloplasty.
- 在手术期间识别和记录异常的血管解剖学.
主要成果:
- 确定了一个辅助的右下极动脉和静脉.
- 一个右性腺动脉起源于辅助的右动脉.
- 右性腺静脉排放到辅助的右下极性静脉.
结论:
- 在患有先天性PUJO的患者中,血管变异,包括涉及辅助和淋巴体血管的变异,可能会发生.
- 对于进行腹腔镜手术的泌尿科医生来说,意识到这种解剖变异至关重要,以避免无意中血管损伤并确保患者的安全.
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