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通过结合腹腔镜手术和计划的开放转换来治疗耐火性皮内的手术方法:一个病例报告

Makoto Hasegawa¹, Takayuki Ogino², Yuki Sekido¹

¹Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, 2-2 Yamadaoka E-2, Suita, Osaka, 565-0871, Japan.

Surgical case reports

|August 14, 2024

概括

本案例研究提出了一种新的手术方法来治疗复杂的皮内囊 (ECF) 和严重的粘附. 通过结合腹腔镜粘结溶解和计划的开放转换,安全地管理了耐火性ECF,为困难的手术病例提供了新的选择.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
腹部手术腹部手术

背景情况:

肠皮 (ECF) 是一种罕见但具有挑战性的胃肠道并发症.
现有的文献对治疗ECF的外科手术技术提供了有限的指导.
具有严重粘附的耐火性ECF存在重大治疗困难.

研究的目的:

报告一个具有严重粘附的耐火ECF病例.
描述一种涉及腹腔镜粘结解和计划开放转换的联合手术技术.
评估这种综合方法的安全性和有效性.

主要方法:

一个有多次腹部手术和粘合性小肠阻塞 (SBO) 病史的患者患上了耐火性ECF.
最初的保守管理和试图简单关闭的尝试失败了.
结合了腹腔镜粘结溶解和计划的开放转换策略,用于最终治疗.

主要成果:

腹腔镜和开放外科手术的结合方法成功地管理了耐火性ECF和严重的粘附.
手术后的并发症包括头骨胀和周围功能障碍,通过皮肤内镜胃口管理.
患者表现出显著改善,在3年的随访中,ECF或SBO没有复发.

结论:

结合腹腔镜粘结溶解和计划的开放转换可以为复杂的ECF病例提供安全的手术场所.
这种方法可以最大限度地减少患有广泛粘附的患者的附带损伤.
描述的手术策略为管理耐火ECF提供了一个可行的选择.

关键词:

粘合溶解是一种粘合溶解.皮内带 - - 皮内带 laparoscopic 手术拉巴洛斯科普手术是用眼镜进行的手术.打开转换打开转换外科手术的方法.

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