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

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

1.
扬州大学, 江苏扬州 225000
2.
大连医科大学, 辽宁大连 111600
3.
苏北人民医院胆胰外科, 江苏扬州 225000

基金项目:

国家自然科学基金项目 (81772516)

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。

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

通信作者:
姚捷，docyao@hotmail.com

二者对本文贡献相同，同为第一作者。

中图分类号: R657.5
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- 被引次数: 0
出版历程
- 收稿日期: 2020-07-18
- 录用日期: 2020-10-30
- 出版日期: 2021-01-20

Hepatic Artery; Mesenteric Artery, Superior; Pancreatic Neoplasms

1.
Yangzhou University, Yangzhou, Jiangsu 225000, China
2.
Dalian Medical University, Dalian, Liaoning 111600, China
3.
Department of Biliary-Pancreatic Surgery, Subei People's Hospital, Yangzhou, Jiangsu 225000, China

摘要

- 肝动脉 /
- 肠系膜上动脉 /
- 胰腺肿瘤

HTML全文

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。

下载: 全尺寸图片幻灯片

图 2 术后2周腹部CT血管造影

下载: 全尺寸图片幻灯片

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

参考文献(10)

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[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