腹腔镜内镜合作手术用于腹部亚皮质病变在腹腔镜袖子胃切除术期间严重肥胖症
Takumi Miwa1, Yuji Ishibashi2, Fumihiko Hatao1
1Department of Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu-shi, Tokyo, 183-8524, Japan.
Surgical case reports
|September 26, 2024
概括
腹腔外科手术患者可能偶尔发现胃亚皮质病变 (SEL). 同时内切除SEL和腹腔镜袖胃切除术 (LSG) 是一个可行的方法来管理这些发现.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 手术瘤学手术瘤学
背景情况:
- 越来越多的减肥手术患病率与胃病理的偶然发现增加有关,例如下皮质病变 (SEL).
- 管理这些偶然的病理需要仔细考虑外科手术的时间和技术.
研究的目的:
- 描述胃亚皮质病变 (SEL) 和腹腔镜袖胃切除术 (LSG) 的同时管理的情况.
- 突出准备在减肥手术过程中的偶然发现的重要性.
主要方法:
- 一名患有严重肥胖症的患者接受了腹腔镜袖子胃切除术 (LSG).
- 手术前内镜检查显示,胃部内有10毫米的SEL.
- 同时进行腹腔镜内镜合作手术 (LECS) 进行SEL切除,随后进行LSG.
主要成果:
- 在病理学分析后,SEL被诊断为白细胞瘤.
- 患者成功地同时切除了SEL和LSG.
- 患者在术后第6天出院,没有立即出现并发症.
结论:
- 外科医生必须准备好管理在减肥手术之前,期间或之后发现的偶然病理.
- 个性化外科手术方法对于在治疗并存疾病时获得最佳患者结果至关重要.
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