The laparoscopic isolation of a splenic artery aneurysm: a case report

Q4 Medicine Patologiya krovoobrashcheniya i kardiokhirurgiya Pub Date : 2022-09-30 DOI:10.21688/1681-3472-2022-3-97-102

N. S. Odintsov, Yu. K. Belova, A. Vanyurkin, Y. Kudaev, A. Neimark, M. Chernyavskiy

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Abstract

Splenic artery aneurysm is a rather rare abnormality, and its treatment is a pressing issue due to high morbidity and mortality in case of its rupture.Our aim is to show the advantages of the laparoscopy for splenic artery aneurysms.Patient P., 81 years old, was admitted for surgical treatment of the splenic artery aneurysm. Angiography revealed the tortuosity of the splenic artery with a 28-mm distal aneurysm. Laparoscopic treatment of the aneurysm was performed using a stapler. No complications were observed during the postoperative period, so the patient was discharged on day 5.The laparoscopic treatment is a method of choice in patients with a tortuos splenic artery and a distal aneurysm to spare a spleen. Received 20 December 2021. Revised 13 April 2022. Accepted 26 April 2022. Informed consent: The patient’s informed consent to use the records for medical purposes is obtained. Funding: The study did not have sponsorship. Conflict of interest: Authors declare no conflict of interest. Contribution of the authorsLiterature review: A.G. Vanyurkin, Yu.A. KudaevDrafting the article: N.S. Odintsov, Yu.K. BelovaCritical revision of the article: A.E. Neimark, M.A. ChernyavskiySurgical treatment: A.E. NeimarkFinal approval of the version to be published: N.S. Odintsov, Yu.K. Belova, A.G. Vanyurkin, Yu.A. Kudaev, A.E. Neimark, M.A. Chernyavskiy

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腹腔镜下脾动脉瘤隔离术1例

脾动脉瘤是一种罕见的异常，其破裂后的高发病率和死亡率使其治疗成为一个紧迫的问题。我们的目的是展示腹腔镜治疗脾动脉瘤的优势。病人P, 81岁，因脾动脉瘤接受手术治疗。血管造影显示脾动脉扭曲，远端动脉瘤直径28毫米。使用吻合器对动脉瘤进行腹腔镜治疗。术后无并发症，于第5天出院。腹腔镜治疗是脾动脉扭曲和远端动脉瘤患者的一种选择，以保留脾脏。收到2021年12月20日。2022年4月13日修订。接受2022年4月26日。知情同意:已取得患者知情同意将病历用于医疗目的。经费来源:本研究未获得赞助。利益冲突:作者声明无利益冲突。文献综述:A.G. Vanyurkin, Yu.A.;文章起草:N.S. Odintsov, uk。文章的关键性修改:A.E. Neimark, M.A. chernyavskiy手术治疗:A.E. Neimark最终批准发表的版本:N.S. Odintsov, uk。Belova, A.G. Vanyurkin, yu。库达耶夫，A.E.内马克，M.A.切尔尼亚夫斯基

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