激进囊管切除术后延迟右外阴动脉破坏:一个病例报告和文献综述
1Department of Urology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang 310009, P.R. China.
Molecular and clinical oncology
|August 24, 2023
概括
动脉损伤是一种罕见但危及生命的并发症,发生在激进囊切除术后. 早期识别和管理,特别是在糖尿病患者等高风险患者中,对于有利的结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 血管外科 血管外科
- 在瘤学瘤学.
背景情况:
- 肌肉侵入性膀癌需要激进的囊切除术与骨盆淋巴结解剖和尿路转移.
- 手术后的并发症会对患者的康复和结果产生重大影响.
研究的目的:
- 为了报告一个罕见的情况,右外侧阴动脉中断后腹腔镜激进囊切除术.
- 强调在膀癌患者的术后管理中考虑血管并发症的重要性.
主要方法:
- 一名60岁的男性患者接受了腹腔镜激进囊切除术,以治疗肌肉侵入性膀癌.
- 患者因败血性和出血性休克而重新入院,诊断出右外阴动脉中断.
- 手术修复涉及探索性手术,血管支架安置,以及以血液培养敏感性为指导的抗生素治疗.
主要成果:
- 确定了右外侧门动脉的破坏,并成功地用血管支架治疗.
- 感染性休克是通过针对Klebsiella pneumoniae亚种的抗生素来管理的. 这是肺炎.
- 患者得到了良好的康复,在住院五周后就诊后获释.
结论:
- 动脉损伤是骨盆手术后的罕见但严重的并发症.
- 血管并发症应考虑在患者的差异诊断呈现震惊后囊切除术.
- 糖尿病可能是这种不良事件的危险因素,需要提高警.
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