腹腔镜下左髂总动脉- 股动脉人工血管旁路移植治疗髂外动脉闭塞症一例_Chinese Journal of Reparative and Reconstructive Surgery

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谷涌泉 , 齐立行 , 郭连瑞 , 崔昕 , 佟铸 , 武欣 , 郭建明 , 张建 , 汪忠镐

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Keywords：

髂外动脉硬化闭塞症; 主- 髂动脉重建; 腹腔镜

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目的总结腹腔镜下人工血管旁路移植治疗髂外动脉闭塞症的手术技巧和临床效果。方法 2011年12 月，收治1 例57 岁髂外动脉硬化闭塞症男性患者。患者双下肢间歇性跛行；下肢动脉造影示左髂外动脉闭塞，右髂总动脉狭窄；心电图示窦性心律，完全性右束支传导阻滞，ST 段改变；踝肱指数（ankle brachial index，ABI）：左侧0.59，右侧0.54。于全麻下行腹腔镜下左髂总动脉- 股动脉人工血管旁路移植术。结果术后人工血管通畅，吻合口无漏血，患者跛行症状明显改善。术后1 周左侧ABI 增加至1.09；术后1 个月血管造影显示血管通畅。结论腹腔镜下主- 髂动脉重建既保留开腹动脉旁路移植效果好的特点，又具有腔内支架成形创伤小、术后恢复快的优点。

Citation： 谷涌泉,齐立行,郭连瑞,崔昕,佟铸,武欣,郭建明,张建,汪忠镐. 腹腔镜下左髂总动脉- 股动脉人工血管旁路移植治疗髂外动脉闭塞症一例. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(5): 631-632. doi: Copy

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1. Dion YM, Gracia CR. A new technique for laparoscopic aortobifemoral grafting in occlusive aortoiliac disease. J Vasc Surg, 1997, 26(4): 685-692.
2. Barbera L, Mumme A, Metin S, et al. Operative results and outcome of twenty-four totally laparoscopic vascular procedures for aortoiliac occlusive disease. J Vasc Surg, 1998, 28(1): 136-142.
3. Dion YM, Thaveau F, Fearn SJ. Current modifications to totally laparoscopic “apron technique”. J Vasc Surg, 2003, 38(2): 403-406.
4. Thuijls G, van Laake LW, Lemson MS, et al. Usefulness and applicability of femorofemoral crossover bypass grafting. Ann Vasc Surg, 2008, 22(5): 663-667.
5. Dion YM, Katkhouda N, Rouleau C, et al. Laparoscopy-asssisted aortobifemoral bypass. Surg Laparosc Endosc, 1993, 3(5): 425-429.
6. 于良, 王博, 吕毅. 重视临床腹腔镜技术培训过程中“学习曲线”. 肝胆外科杂志, 2008, 16(3): 167-168.
7. 谷涌泉, 齐立行, 张建, 等. 腹腔镜下主动脉重建的动物实验研究. 中国微创外科杂志, 2009, 9(9): 814-816.

Chinese Journal of Reparative and Reconstructive Surgery

腹腔镜下左髂总动脉- 股动脉人工血管旁路移植治疗髂外动脉闭塞症一例

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