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在 inguinal hernia 中,由西格结肠癌引起的不完全肠道阻塞:一个病例报告
Hiroki Sujino1,2, Hideki Gon1,2, Yota Shimoda1,2
1Department of Surgery, Toda Chuo General Hospital, 1-19-3 Honcho, Toda, Saitama, 335-0023, Japan.
Surgical case reports
|April 24, 2024
概括
在 inguinal hernia 中的结肠癌可以导致肠道阻塞. 这一案例突出了在囊中的西格结肠癌的手术治疗选择,强调了个性化护理.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 椎间板手术 手术 椎间板手术
背景情况:
- 在 inguinal 囊内的结肠癌通常在监禁期间被诊断出来.
- 治疗因病理不同而有所不同,在非感染病例中进行穿孔/的紧急手术和瘤切除.
- laparoscopic 手术是选择的选择,为选择的情况.
研究的目的:
- 报告一个不完全的肠道阻塞的病例,由于在 inguinal 囊内存在 sigmoid 结肠癌.
- 详细说明治疗选择过程和使用的外科手术技术.
- 审查有关在囊内管理结肠癌的相关文献.
主要方法:
- 一名79岁的男性长期患有左 inguinal ,呈现出疼痛和不完全的肠道阻塞.
- 计算机断层扫描 (CT) 和结肠镜诊断出有额外血清侵袭的西格结肠癌.
- 对癌症进行开放的哈特曼手术和对疹进行的阴茎管修复手术是选择性地进行的.
主要成果:
- 患者接受了一次单阶段的开放性手术,该手术结合了西格切除 (哈特曼手术) 和无网状修复 (阴道修复).
- 经过8个月的术后随访,没有发现癌症复发或的证据.
- 选择的手术方法在一次手术中解决了恶性瘤和.
结论:
- 在长期的 inguinal 内,先进的 sigmoid 结肠癌可以导致不完全的肠道阻塞.
- 手术管理需要仔细考虑癌症病理和状况.
- 在这些复杂病例的瘤切除过程中,经常采用非网状修复技术.
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