胰十二脂肠切除术中变异肝动脉识别与处理

发布时间：2018-05-10 10:12

本文选题：胰十二指肠切除术 + 变异肝动脉　；参考：《中国实用外科杂志》2017年09期

【摘要】：正胰十二指肠切除术(pancreaticoduodenectomy,PD)是治疗壶腹周围恶性肿瘤、癌前病变和部分良性疾病的标准术式。PD手术难度较大,术后并发症发生率高~([1])。胰头十二指肠区域解剖结构复杂,与周围血管关系密切,术中易发生损伤,若存在解剖变异则使手术难度和风险增加。变异肝动脉(aberrant hepatic artery,AHA)是PD术中常见的解剖变异之一,其发生率高,为19.7%~45.0%~([2])。AHA增加了
[Abstract]:Orthopancreatic duodenectomy is the standard procedure for the treatment of periampullary malignant tumors, precancerous lesions and some benign diseases. It is difficult to operate on PD, and the incidence of postoperative complications is high (1). The anatomical structure of the pancreaticoduodenal region is complex and closely related to the peripheral blood vessels, and it is easy to be damaged during the operation. If there is anatomic variation, the difficulty and risk of the operation will be increased. Aberrant hepatic arteriole (AHA) is one of the most common anatomical variations in PD operation, with a high incidence of 19.7% (45.0%).
【作者单位】：哈尔滨医科大学附属第一医院胰胆外科;
【基金】：国家自然科学基金(No.81372613,No.81670583)
【分类号】：R656

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