Causes of epigastric pain and vomiting after laparoscopic-assisted radical right hemicolectomy-superior mesenteric artery syndrome
作者机构：Department of RadiologyThe Affiliated Hospital of Southwest Medical UniversityLuzhou 646000Sichuan ProvinceChina
出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)
年 卷 期：2023年第15卷第2期
页 面：193-200页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Right hemicolectomy Superior mesenteric artery syndrome X-ray computed tomography
摘 要：BACKGROUND Superior mesenteric artery syndrome(SMAS)is a rare condition causing functional obstruction of the third portion of the *** SMAS following laparoscopic-assisted radical right hemicolectomy is even less prevalent and can often be unrecognized by radiologists and *** To analyze the clinical features,risk factors,and prevention of SMAS after laparoscopic-assisted radical right *** We retrospectively analyzed clinical data of 256 patients undergoing laparoscopicassisted radical right hemicolectomy in the Affiliated Hospital of Southwest Medical University from January 2019 to May *** occurrence of SMAS and its countermeasures were *** the 256 patients,SMAS was confirmed in six patients(2.3%)by postoperative clinical presentation and imaging *** six patients were examined by enhanced computed tomography(CT)before and after *** who developed SMAS after surgery were used as the experimental group.A simple random sampling method was used to select 20 patients who underwent surgery at the same time but did not develop SMAS and received preoperative abdominal enhanced CT as the control *** angle and distance between the superior mesenteric artery and abdominal aorta were measured before and after surgery in the experimental group and before surgery in the control *** preoperative body mass index(BMI)of the experimental group and the control group was *** type of lymphadenectomy and surgical approach in the experimental and control groups were *** differences in angle and distance were compared preoperatively and postoperatively in the experimental group *** differences in angle,distance,BMI,type of lymphadenectomy and surgical approach between the experimental and control groups were compared,and the diagnostic efficacy of the significant parameters was assessed using receiver operating characteristic *** In the experimental gro
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