6533b83afe1ef96bd12a7973

RESEARCH PRODUCT

Surgical anatomy applied to transperitoneal approaches of the abdominal aorta and visceral trunks. Dynamic article.

Delfina Fletcher-sanfeliuFrancisco OrbisÁLvaro García-graneroGianluca PellinoLuis Sabater OrtíAlfonso A. Valverde-navarroAntonio ArroyoAlberto Domenech DolzIván Martín-gonzález

subject

medicine.medical_specialtyAbdominal aorta Abordaje Acceso quirúrgico Anatomía quirúrgica Aorta abdominal Approaches Surgical access Surgical anatomySurgical acceSurgical anatomyCeliac ArteryMesenteric Artery SuperiorCadavermedicine.arteryApproacheCadavermedicineHumansAorta AbdominalSuperior mesenteric arteryAbdominal aortaAortabusiness.industryDissectionDigestive surgeryAbdominal aortaGeneral EngineeringSurgical anatomyTrunkSurgeryDissectionAorta abdominalAcceso quirúrgicoAnatomía quirúrgicaAbordajebusinessHuman

description

Access to the abdominal aorta and its visceral trunks is possible through several approaches. Dissections of five cadavers performed during three National Surgical Anatomy courses applied to Aorta, Hepatobiliopancreatic and Digestive Surgery. Videos and pictures were taken throughout the dissections and showed different abdominal aorta approaches. Abdominal aorta and visceral trunks approaches: longitudinal inframesocolic access, supraceliac clamping, celiac trunk dissection, superior mesenteric artery approaches (retroperitoneal after Kocher menoeuvre, supramesocolic or inframesocolic), Cattell-Braasch manoeuvre and mattox manoeuvre: retrorenal and prerenal. Correct knowledge of the intraabdominal anatomy is necessary to perform all the abdominal aorta surgical approaches. Cadaveric dissection could help to achieve this objective. Cardiovascular and digestive surgeons need to know the possible strategies in order to choose the one which is best suited for each patient.

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