十二指肠胰切除术中肝动脉的解剖变化：微创手术入路的提示和技巧。

IF 2.4 3区医学 Q2 SURGERY

Updates in Surgery Pub Date : 2025-07-01 DOI:10.1007/s13304-025-02307-w

Alberto García-Picazo, Patricia Sánchez-Velázquez, Fernando Burdio, Benedetto Ielpo

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引用次数: 0

摘要

肝动脉（HA）的解剖变异很常见（25-45%），这是微创手术的一个特殊挑战。术前了解这些变异对胰十二指肠切除术（PD）至关重要，以避免血管损伤和不影响胰腺间系切除术。患者解剖变异的HA，谁接受PD，选择包括机器人和腹腔镜手术。所有病例均采用肠系膜上动脉（SMA）的“动脉优先”入路，以确定动脉变异的起源，并对胃十二指肠动脉进行切片。这篇多媒体文章的目的是描述不同的手术方法，包括一些提示和技巧，在血管变异的情况下。

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Anatomical variations of the hepatic artery in duodenopancreatectomy: tips and tricks in the minimally invasive surgical approach.

Anatomical variations of the hepatic artery (HA) are frequent (25-45%), representing a special challenge in minimally invasive surgery. Preoperative knowledge of these variations is essential in pancreaticoduodenectomy (PD) to avoid vascular injury and without compromising mesopancreas resection. Patients with anatomical variants of HA, who underwent PD, were selected including robotic and laparoscopy surgery. In all cases, the "Artery First" approach of the superior mesenteric artery (SMA) was performed allowing the identification of the origin of arterial variants and the gastroduodenal artery to be sectioned. The objective of this multimedia article is to describe the different surgical approaches, including some tips and trick in case of vascular variants.

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来源期刊

Updates in Surgery Medicine-Surgery

CiteScore

4.50

自引率

7.70%

发文量

208

期刊介绍： Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.