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在胆囊切除术后,Hem-o-lok剪片迁移到十二指肠球泡:一个病例报告
Hong-Yan Liu1, Ai-Hong Yin1, Zhi Wei2
1Department of Gastroenterology, Shandong Second Provincial General Hospital, Jinan 250022, Shandong Province, China.
World journal of gastrointestinal surgery
|May 31, 2024
概括
在腹腔镜胆囊切除术后,一个Hem-o-lok剪贴迁移到十二指肠球泡,呈现为下瘤. 剪辑成功地通过内镜进行了切除,突出了潜在的术后并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 医疗设备迁移 医疗设备迁移
背景情况:
- 在腹腔镜胆囊切除术 (LC) 期间,Hem-o-lok剪贴是控制血管和导管的标准.
- 潜在的并发症,包括设备迁移,需要临床意识.
研究的目的:
- 报告一个独特的Hem-o-lok片迁移到十二指管球泡后的案例.
- 为了记录这种迁移的内镜进化.
- 审查关于剪片迁移的现有文献.
主要方法:
- 一名72岁的男性患者通过Hem-o-lok剪辑进行了LC.
- 连续的食管胃管腺镜检查 (EGD) 监测了十二指管球中的一种正在发展的亚粘膜瘤 (SMT) 样病变.
- 使用活检子进行内镜剪贴提取.
主要成果:
- 十二指甲球的SMT类病变在LC后2年观察到.
- 病变在5个月内演变,显示出凸起的边缘和中央缩.
- 一个Hem-o-lok剪贴被确定并成功地通过内镜切除,没有并发症.
结论:
- 临床医生必须认识到Hem-o-lok剪贴迁移是潜在的LC后并发症.
- 有症状的迁移片段需要进行内镜切除.
- 意识和监测对于管理这种罕见事件至关重要.
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