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肝动脉起源于肠系膜上动脉的改良Appleby手术1例报告

Allamyradov Aly 杜岩 刘同泰 王小东 姚凯

Allamyradov Aly, 杜岩, 刘同泰, 等. 肝动脉起源于肠系膜上动脉的改良Appleby手术1例报告[J]. 临床肝胆病杂志, 2021, 37(1): 163-164. DOI: 10.3969/j.issn.1001-5256.2021.01.034
引用本文: Allamyradov Aly, 杜岩, 刘同泰, 等. 肝动脉起源于肠系膜上动脉的改良Appleby手术1例报告[J]. 临床肝胆病杂志, 2021, 37(1): 163-164. DOI: 10.3969/j.issn.1001-5256.2021.01.034
ALLAMYRADOV A, DU Y, LIU TT, et al. Modified Appleby procedure for the common hepatic artery originating from the superior mesenteric artery: A case report[J]. J Clin Hepatol, 2021, 37(1): 163-164. DOI: 10.3969/j.issn.1001-5256.2021.01.034
Citation: ALLAMYRADOV A, DU Y, LIU TT, et al. Modified Appleby procedure for the common hepatic artery originating from the superior mesenteric artery: A case report[J]. J Clin Hepatol, 2021, 37(1): 163-164. DOI: 10.3969/j.issn.1001-5256.2021.01.034

肝动脉起源于肠系膜上动脉的改良Appleby手术1例报告

DOI: 10.3969/j.issn.1001-5256.2021.01.034
基金项目: 

国家自然科学基金项目 81772516

详细信息
    作者简介:

    Allamyradov Aly(1993—),男,主要从事胰腺手术方面的研究

    杜岩(1995—),男,主要从事胆胰疾病方面的研究

    通讯作者:

    姚捷,docyao@hotmail.com

  • 作者贡献声明:Allamyradov Aly、杜岩负责资料分析,撰写论文;刘同泰、王小东、姚凯参与收集数据,修改论文。
  • 二者对本文贡献相同,同为第一作者。
  • 中图分类号: R657.5

Hepatic Artery; Mesenteric Artery, Superior; Pancreatic Neoplasms

  • 图  1  术前增强CT

    注:a, 腹腔干动脉左侧低密度肿块;b, 腹腔干动脉的下缘低密度肿块;c, 肠系膜上动脉根部有低密度影。

    图  2  术后2周腹部CT血管造影

    表  1  术后肝功能指标

    时间 AST
    (U/L)
    ALT
    (U/L)
    ALP
    (U/L)
    GGT
    (U/L)
    TBil
    (μmol/L)
    术后1 d 23 13 30 5 22.7
    术后3 d 58 61 56 6 19.7
    术后7 d 12 17 40 8 12.8
    术后14 d 12 18 69 40 6.6
    注:a, 腹腔干已切除;b, 肝总动脉起源于SMA。
    下载: 导出CSV
  • [1] WATANABE K, SHOJA MM, LOUKAS M, et al. Buntaro Adachi (1865-1945): Japanese master of human anatomic variation[J]. Clin Anat, 2012, 25(8): 957-960. DOI: 10.1002/ca.22182
    [2] CHEN H, YANO R, EMURA S, et al. Anatomic variation of the celiac trunk with special reference to hepatic artery patterns[J]. Ann Anat, 2009, 191(4): 399-407. DOI: 10.1016/j.aanat.2009.05.002
    [3] HIATT JR, GABBAY J, BUSUTTIL RW. Surgical anatomy of the hepatic arteries in 1000 cases[J]. Ann Surg, 1994, 220(1): 50-52. DOI: 10.1097/00000658-199407000-00008
    [4] UGUREL MS, BATTAL B, BOZLAR U, et al. Anatomical variations of hepatic arterial system, coeliac trunk and renal arteries: An analysis with multidetector CT angiography[J]. Br J Radiol, 2010, 83(992): 661-667. DOI: 10.1259/bjr/21236482
    [5] ZAGYAPAN R, KÜRKÇÜOǦLU A, BAYRAKTAR A, et al. Anatomic variations of the celiac trunk and hepatic arterial system with digital subtraction angiography[J]. Turk J Gastroenterol, 2014, 25 (Suppl 1): 104-109. DOI: 10.5152/tjg.2014.5406
    [6] CANNELLA R, BORHANI AA, ZUREIKAT AH, et al. Appleby procedure (distal pancreatectomy with celiac artery resection) for locally advanced pancreatic carcinoma: Indications, outcomes, and imaging[J]. AJR Am J Roentgenol, 2019. (Online ahead of print).
    [7] NAKAMURA T, HIRANO S, NOJI T, et al. Distal pancreatectomy with en bloc celiac axis resection (modified appleby procedure) for locally advanced pancreatic body cancer: A single-center review of 80 consecutive patients[J]. Ann Surg Oncol, 2016, 23(Suppl 5): 969-975. DOI: 10.1245/s10434-016-5493-8
    [8] KLOMPMAKER S, PETERS NA, van HILST J, et al. Outcomes and risk score for distal pancreatectomy with celiac axis resection (DP-CAR): An international multicenter analysis[J]. Ann Surg Oncol, 2019, 26(3): 772-781. DOI: 10.1245/s10434-018-07101-0
    [9] MITTAL A, de REUVER PR, SHANBHAG S, et al. Distal pancreatectomy, splenectomy, and celiac axis resection (DPS-CAR): Common hepatic arterial stump pressure should determine the need for arterial reconstruction[J]. Surgery, 2015, 157(4): 811-817. DOI: 10.1016/j.surg.2014.10.006
    [10] TEMPERO MA, MALAFA MP, CHIOREAN EG, et al. Pancreatic adenocarcinoma, version 1.2019[J]. J Natl Compr Canc Netw, 2019, 17(3): 202-210. DOI: 10.6004/jnccn.2019.0014
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出版历程
  • 收稿日期:  2020-07-18
  • 修回日期:  2020-10-30
  • 刊出日期:  2021-01-18
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