胃十二指肠动脉在胰腺外科手术中的临床意义  

Clinical significance of gastroduodenal artery in pancreatic surgery

作　　者：王健 唐文强 朱中飞 宋彬 Wang Jian;Tang Wenqiang;Zhu Zhongfei;Song Bin(Department of Hepatobiliary Pancreatic Surgery,Changhai Hospital Affiliated to Navy Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学附属长海医院肝胆胰腺外科,上海200433

出　　处：《中华消化外科杂志》2023年第S01期122-125,共4页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金面上项目(82073307);上海市人才发展基金(2019111)

摘　　要：胃十二指肠动脉(GDA)在胰腺外科手术中具有重要地位。笔者通过回顾和总结相关文献以及结合本中心的实践经验,提出具体的建议和做法,为医师提供有关GDA解剖变异和术后出血的临床处理参考。GDA与周围器官的血液供应密切相关,同时也是胰腺术后腹腔出血的主要来源。因此,GDA在胰腺手术中具有特殊的解剖地位,影响手术的策略和方式。为了评估GDA的解剖变异,术前可以利用CT血管重建技术。在手术过程中,识别和保护GDA以及处理其残端非常重要。对于GDA残端出血,可进行血管内治疗或进行二次开腹手术处理。The gastroduodenal artery(GDA)has an important role in pancreatic surgery.Relevant literature was reviewed and sum-marized in this article,along with practical experiences from our center,in order to provide references for surgeons in dealing with anatomical variations of the GDA and postoperative bleeding.GDA has close relationships with the blood supply of surrounding organs and is the most common vessel associated with intra-abdominal bleeding after pancreatic surgery.Therefore,the GDA plays a crucial anatomical role that affects the strategies and approaches of pancreatic surgery.Preoperative assessment of GDA variations can be achieved through CT angiography.During surgery,it is important to identify and dissect the GDA properly and protect its remnants.In cases of residual bleeding from the GDA,endovascular treatment or secondary laparotomy can be conducted.

关 键 词：胰腺 外科 胃十二指肠动脉 手术 治疗 

分 类 号：R657.5[医药卫生—外科学]