Replaced common hepatic artery from superior mesenteric artery during pancreaticoduodenectomy.
Replaced common hepatic artery from superior mesenteric artery during pancreaticoduodenectomy.
复制标题
在胰十二指肠切除术中用肠系膜上动脉替换肝总动脉。
作者：
M. Wood;C. Lazo;V. Hassid;Z. Awad
肝动脉解剖结构变化很大。一名 67 岁女性，患有胰腺肿块，并替换了源自肠系膜上动脉的肝总动脉，接受了胰十二指肠切除术 (PD)。术前 CT 扫描和 MRI 发现异常血管。该血管在从背部经过胰腺时被解剖并保存。 PD 后保留肝脏和胆管系统的血液供应对于预防胆瘘和肝缺血非常重要。
The hepatic arterial anatomy is highly variable. A 67 year female with pancreatic mass and replaced common hepatic artery originating from the superior mesenteric artery underwent pancreaticoduodenectomy (PD). The anomalous vessel was discovered on preoperative CT scan and MRI. The vessel was dissected and preserved as it passed dorsal to the pancreas. Preservation of the blood supply to the liver and biliary tree is important after PD to prevent biliary fistula and hepatic ischaemia.