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ANASTOMOSIS OF RENAL TO SUPERIOR MESENTERIC ARTERY: Resection of Lesions Involving the Proximal Superior Mesenteric Artery

ANASTOMOSIS OF RENAL TO SUPERIOR MESENTERIC ARTERY: Resection of Lesions Involving the Proximal... Abstract SOME BRANCHES of the abdominal aorta cannot be interrupted without hazard except under unusual conditions. Among these vessels are the superior mesenteric artery and the hepatic artery distal to the origin of the gastroduodenal. If such an artery is injured or is intimately involved by an otherwise resectable tumor, removal of the arterial segment concerned may be fatal. However, to do nothing in a case of this type will probably give an equally dismal result. Hence any dependable method allowing such arterial segments to be bypassed and the arterial blood supply to vital organs preserved may find application. In 20 dogs, ranging from 11 to 20 kg., a left subcostal incision was made with the subject under ether anesthesia and the viscera were retracted to the right. This gives excellent exposure to the superior mesenteric artery and celiac axis, whose origins lie close together at the base of the mesentery References 1. Anson, B. J.; Cauldwell, E. W.; Pick, J. W., and Beaton, L. E.: Anatomy of Pararenal System of Veins, with Comments on the Renal Arteries , J. Urol. 60:714-737 ( (Nov.) ) 1948. 2. Blalock, A., and Levy, S. B.: Gradual Complete Occlusion of Celiac Axis, Superior and Inferior Mesenteric Arteries, with Survival of Animals: Effects of Ischemia on Blood Pressure , Surgery 5:175-178 ( (Feb.) ) 1939. 3. Child, C. G., III; Milnes, R. F.; Holswade, G. R., and Gore, A. L.: Sudden and Complete Occlusion of the Portal Vein in the Macaca Mulatta Monkey , Ann. Surg. 132:475-495 ( (Sept.) ) 1950.Crossref 4. Holman, E., and Hahn, R.: Application of the Z-Plasty Technique to Hollow Cylinder Anastomosis: Experimental Study in the Surgery of Blood Vessels , Ann. Surg. 138:344-350 ( (Sept.) ) 1953.Crossref 5. Hurwitt, E. S.; Altman, S.; Borow, M., and Rosenblatt, M.: Intra-abdominal Arterial Anastomoses: Experimental Study , Surgery 34:1043-1060 ( (Dec.) ) 1953. 6. Nelson, L. E., and Kremen, A. J.: Experimental Occlusion of Superior Mesenteric Vessels with Special Reference to the Role of Intravascular Thrombosis and Its Prevention by Heparin , Surgery 28:819-826 ( (Nov.) ) 1950. 7. Shaw, R. S., and Green, T. H., Jr.: Massive Mesenteric Infarction Following Inferior Mesenteric Artery Ligation in Resection of the Colon for Carcinoma , New England J. Med. 248:890-891 ( (May 21) ) 1953.Crossref 8. Shumacker, H. B., Jr., and Lowenberg, R. I.: Experimental Studies in Vascular Repair: 1. Comparison of Reliability of Various Methods of End-to-end Arterial Sutures , Surgery 24:79-89 ( (July) ) 1948. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

ANASTOMOSIS OF RENAL TO SUPERIOR MESENTERIC ARTERY: Resection of Lesions Involving the Proximal Superior Mesenteric Artery

A.M.A. Archives Surgery , Volume 70 (2) – Feb 1, 1955

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Publisher
American Medical Association
Copyright
Copyright © 1955 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1955.01270080059010
Publisher site
See Article on Publisher Site

Abstract

Abstract SOME BRANCHES of the abdominal aorta cannot be interrupted without hazard except under unusual conditions. Among these vessels are the superior mesenteric artery and the hepatic artery distal to the origin of the gastroduodenal. If such an artery is injured or is intimately involved by an otherwise resectable tumor, removal of the arterial segment concerned may be fatal. However, to do nothing in a case of this type will probably give an equally dismal result. Hence any dependable method allowing such arterial segments to be bypassed and the arterial blood supply to vital organs preserved may find application. In 20 dogs, ranging from 11 to 20 kg., a left subcostal incision was made with the subject under ether anesthesia and the viscera were retracted to the right. This gives excellent exposure to the superior mesenteric artery and celiac axis, whose origins lie close together at the base of the mesentery References 1. Anson, B. J.; Cauldwell, E. W.; Pick, J. W., and Beaton, L. E.: Anatomy of Pararenal System of Veins, with Comments on the Renal Arteries , J. Urol. 60:714-737 ( (Nov.) ) 1948. 2. Blalock, A., and Levy, S. B.: Gradual Complete Occlusion of Celiac Axis, Superior and Inferior Mesenteric Arteries, with Survival of Animals: Effects of Ischemia on Blood Pressure , Surgery 5:175-178 ( (Feb.) ) 1939. 3. Child, C. G., III; Milnes, R. F.; Holswade, G. R., and Gore, A. L.: Sudden and Complete Occlusion of the Portal Vein in the Macaca Mulatta Monkey , Ann. Surg. 132:475-495 ( (Sept.) ) 1950.Crossref 4. Holman, E., and Hahn, R.: Application of the Z-Plasty Technique to Hollow Cylinder Anastomosis: Experimental Study in the Surgery of Blood Vessels , Ann. Surg. 138:344-350 ( (Sept.) ) 1953.Crossref 5. Hurwitt, E. S.; Altman, S.; Borow, M., and Rosenblatt, M.: Intra-abdominal Arterial Anastomoses: Experimental Study , Surgery 34:1043-1060 ( (Dec.) ) 1953. 6. Nelson, L. E., and Kremen, A. J.: Experimental Occlusion of Superior Mesenteric Vessels with Special Reference to the Role of Intravascular Thrombosis and Its Prevention by Heparin , Surgery 28:819-826 ( (Nov.) ) 1950. 7. Shaw, R. S., and Green, T. H., Jr.: Massive Mesenteric Infarction Following Inferior Mesenteric Artery Ligation in Resection of the Colon for Carcinoma , New England J. Med. 248:890-891 ( (May 21) ) 1953.Crossref 8. Shumacker, H. B., Jr., and Lowenberg, R. I.: Experimental Studies in Vascular Repair: 1. Comparison of Reliability of Various Methods of End-to-end Arterial Sutures , Surgery 24:79-89 ( (July) ) 1948.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Feb 1, 1955

References