在一个成年人下降的colo-colic内肠接的 laparoscopic有限的血栓切除术
Akash Akash1, Aditya Kumar2, Nikhil Gupta1
1Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences, Dr. Ram Manohar Lohia Hospital, New Delhi, India.
Journal of minimal access surgery
|October 16, 2023
概括
成年人内肠受是罕见的,通常是由恶性瘤引起的. 这一案例突出了colo-colic内肠接的外科治疗方法,强调由于怀疑恶性瘤,尽管初始的良性活检结果,但需要采用血管第一方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 在成年人中,肠道阻塞是不常见的,占肠道阻塞的1%.
- 结肠直肠静脉接收,特别是在下垂结肠,由于结肠的固定解剖位置,非常罕见.
- 成年人静脉接经常涉及一个领先点,通常是一个结肠恶性瘤,这可能是具有挑战性的进行手术前诊断.
研究的目的:
- 为了呈现成年人colo-colic内肠异位的一个案例.
- 讨论诊断的挑战和手术管理的肠接与疑似恶性点.
- 在这种情况下,要突出 laparoscopic 局限性血栓切除术和初级解剖术的实用性.
主要方法:
- 一名中年男性出现了症状的色结肠内.
- 图像显示有恶性质量,但结肠镜活检两次显示有脂瘤.
- 用5厘米的边缘进行了腹腔镜有限的血液切除术,使用血管第一方法进行了初级解剖,由于持续怀疑恶性瘤,优先考虑瘤安全.
主要成果:
- 手术干预成功地解决了内肠置问题.
- 选择的外科手术方法可以控制病情,同时考虑到潜在的隐性恶性瘤.
- 手术后的组织病理学发现将证实点的性质.
结论:
- 成人静脉接需要仔细评估,特别是关于点,这可能是恶性的.
- 由于症状和诸如穿孔等并发症的风险,外科干预通常是必要的.
- 当怀疑恶性瘤时,即使在模两可的初始活组织检查中,积极的手术策略,例如具有足够边缘的血管第一方法,至关重要.
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