一份关于解决下静脉腔损伤出血问题的案例报告
Tadamasa Shibuya1, Toru Inoue1, Tadasuke Ando1
1Department of Urology, Faculty of Medicine Oita University Yufu-city Oita Japan.
IJU case reports
|November 5, 2024
概括
在机器人辅助上腺切除术期间,凝-血组矩阵有效控制了下静脉损伤的出血. 这种方法避免了开放式手术,证明了它在管理这种手术并发症方面的实用性.
科学领域:
- 手术创新 在外科创新.
- 血管外科 血管外科
- 上腺手术 上腺手术
背景情况:
- 机器人辅助部分上腺切除术用于上腺瘤.
- 下腔静脉 (IVC) 损伤可以在上腺手术期间发生.
- 在IVC损伤中实现静血可能具有挑战性.
研究的目的:
- 报告在机器人辅助上腺切除术期间管理下静脉损伤的情况.
- 为了评估凝-胺矩阵对IVC损伤血液静止的疗效.
- 为了证明使用局部静血剂避免开放转换.
主要方法:
- 一名58岁的男性患者接受了机器人辅助的部分上腺切除术.
- 在剖析过程中发生了下腔静脉的阳性损伤.
- 通过在出血部位施加的凝 - 红素矩阵实现了静血.
主要成果:
- 血液静止的初步尝试,包括 suturing 和纤维激素血贴片,由于可见性差,没有成功.
- 凝 - 丁矩阵被成功应用,并实现了静血.
- 手术是用机器人完成的,没有转换为开放手术.
结论:
- 凝-血栓矩阵是一种可行的选择,可以控制来自小下静脉腔损伤的出血.
- 使用局部药物的有效血液静止可以防止复杂的腹腔镜手术中的开放转换.
- 这一案例突显了先进的静血材料在具有挑战性的手术场景中的成功应用.
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