Hepatic artery reconstruction following iatrogenic injury during laparoscopic distal pancreatectomy: Minimal access surgery is new horizon
| Autor: | Palanivelu Chinnusamy, Vijay Anand Natesan, Subrahmaneswara Babu Naidu, Biswajit Deuri, Nalankilli Palanisamy, Senthilnathan Palanisamy |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Left gastric artery Unusual Case lcsh:Surgery 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine medicine.artery medicine lcsh:RC799-869 Laparoscopy minimally invasive surgery iatrogenic injury medicine.diagnostic_test business.industry Hepatic artery lcsh:RD1-811 Vascular surgery Surgery Cystic Neoplasm medicine.anatomical_structure 030220 oncology & carcinogenesis Abdomen vascular reconstruction lcsh:Diseases of the digestive system. Gastroenterology Radiology business Pancreas Distal pancreatectomy medium-sized vessel Artery left gastric artery |
| Zdroj: | Journal of Minimal Access Surgery, Vol 12, Iss 4, Pp 382-384 (2016) Journal of Minimal Access Surgery |
| ISSN: | 1998-3921 0972-9941 |
| Popis: | Although minimally invasive surgery has evolved in every field of surgery, its use in vascular surgery is limited to major vessel diseases only. A 23-year-old female presented with a cystic lesion in the distal body and the tail of the pancreas. Triphasic computed tomography (CT) abdomen revealed a 4.5 cm × 3.2 cm-sized mass with calcifications. A diagnosis of the mucinous cystic neoplasm in the distal body and the tail of the pancreas was made and the patient was planned for laparoscopic distal pancreatectomy. During the procedure, hepatic artery was accidentally injured due to its anomalous course. The artery was then reconstructed laparoscopically using left gastric artery as conduit. The time duration of the procedure was 45 min and blood loss was approximately 75 mL. The patient recovered well and the postoperative Doppler study revealed normal blood flow. Medium-vessel surgery through laparoscopic approach is feasible and safe in select cases, while availing benefits of laparoscopy. |
| Databáze: | OpenAIRE |
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