右肝动脉形成Moynihan's Hump在Calot的三角形中:在拉皮镜胆囊切除术期间的一个不必要的发现
Dimosthenis Chrysikos1, Nikolaos Taprantzis1, Panagiotis Kanavaros2
1Department of Anatomy, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Cureus
|December 23, 2025
概括
莫尼汉的,卡洛特三角形中的曲的右肝动脉,存在手术风险. 本案例报告详细介绍了腹腔镜胆囊切除术期间的安全管理,强调了解剖意识的必要性.
科学领域:
- 手术解剖学手术解剖学
- 肝胆道手术 肝胆道手术
背景情况:
- 莫尼汉的,或毛虫的,描述了一个曲的右肝动脉在卡洛特三角形.
- 这种解剖学变异在胆囊手术期间具有重大风险,因为它靠近囊性通道和胆囊.
研究的目的:
- 报告在腹腔镜胆囊切除术期间发现的莫尼汉的一个病例.
- 为了说明一个安全的手术技术来管理这种异常.
主要方法:
- laparoscopic胆囊切除术用于有症状的胆结石.
- 在卡洛特三角内识别一个曲的右肝动脉.
- 在剪切和分割囊性动脉后动员动脉.
主要成果:
- 扭曲的右肝动脉被成功识别并安全地调动.
- laparoscopic胆囊切除术完成,没有手术或术后并发症.
- 患者经历了一次平稳的恢复.
结论:
- 对于进行胆囊切除术的外科医生来说,对莫尼汉的认识至关重要.
- 仔细的解剖识别和战略性动脉动员确保了患者的安全.
- 这一案例强调了解剖学知识在预防手术伤害方面的重要性.
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