关节静脉支流分析和手术内测试,以避免胰腺二切除术后的拥堵
Hideyuki Oyama1, Yuki Takahashi1, Yuzo Minegishi1
1Department of General and Gastroenterological Surgery, Showa University Fujigaoka Hospital, 1-30 Fujigaoka, Aoba-ku, Yokohama, Kanagawa, 227-8501, Japan.
Langenbeck's archives of surgery
|March 1, 2024
概括
在胰腺切除术期间牺牲状静脉支流从骨到胰腺通常是安全的,手术内测试可以确定需要保存的病例,以防止状介质塞.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 血管解剖学 血管解剖学
背景情况:
- 胰腺二管切除术涉及切割尾静脉的支流,冒着尾间膜堵塞的风险.
- 预测这种剖析的安全性是一项挑战.
研究的目的:
- 确定最好的方法来预测在胰腺切除术期间尾静脉支流切割的安全性.
- 评估手术前成像,手术内紧固件测试和骨间膜堵塞之间的关系.
主要方法:
- 对手术前成像和手术内检测结果的分析,涉及121名接受胰腺二管切除术的患者.
- 基于支流位置和测试,对切除上层中枢静脉分支的安全性进行评估.
主要成果:
- 关静脉的支流从骨到胰腺不切割过程下边界排水了广泛的关动脉区域.
- 在大多数患者中,牺牲这些头骨支流是安全的.
- 30名患者中的1名 (3%) 进行了头骨支流紧测试,显示严重的拥堵.
结论:
- 从脏下边界到骨的Jejunal静脉支流往往可以牺牲而不会引起拥堵.
- 在手术期间进行合体检测对于识别必须保存以避免堵塞的状静脉至关重要.
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