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额外内动脉 在左侧彻底切除术中受伤:一个持续50年的问题
Marco Catarci1, Leonardo Antonio Montemurro1, Michele Benedetti1
1General Surgery Unit, Sandro Pertini Hospital, ASL Roma 2, Via dei Monti Tiburtini 385, 00157 Rome, Italy.
Journal of clinical medicine
|October 26, 2024
概括
在左激素切除术期间,上层中枢动脉和腹腔干的损伤可能会发生. 本综述涵盖了这些罕见但严重的血管并发症的解剖学因素,风险和管理策略.
科学领域:
- 手术解剖学手术解剖学
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 无论手术方法 (开放式,腹腔镜,机器人) 如何,左根切除术都会对邻近的主要腹血管造成伤害的风险.
- 上层中枢动脉 (SMA) 和腹腔干 (CT) 特别容易受到伤害,因为它们与左椎的解剖关系.
- 这些血管损伤虽然很少发生,但会导致严重的发病率和死亡率.
研究的目的:
- 为了提供一个全面的50年叙事审查的伤害在左激素切除术中SMA和CT.
- 阐明这些损伤的解剖学和病理生理学基础.
- 概述目前的预防,诊断和治疗策略.
主要方法:
- 一个50年的医学文献叙事回顾.
- 分析与左激素切除术相关的解剖变异和手术技术.
- 综合有关风险因素,临床表现和管理结果的数据.
主要成果:
- 详细的解剖学考量凸显了SMA和CT与左脏部的距离.
- 确定了与开放式,腹腔镜和机器人方法相关的风险因素.
- 讨论了诊断标准和治疗干预措施,包括手术修复和内血管选择.
结论:
- 对解剖学变异的认识和细致的外科手术技术对于在左切除术期间预防SMA和CT损伤至关重要.
- 及时诊断和适当的管理对于尽量减少并发症至关重要.
- 本综述巩固了现有知识,以指导外科医生管理这些具有挑战性的血管损伤.
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