腹腔镜内皮切除过程中 urachal 遗留物引起的膀损伤:一个病例报告
Takenori Segawa1, Mizunori Yaegashi1, Yuichiro Hirata1
1Department of Surgery, Iwate Medical University School of Medicine, Shiwa, Japan.
International journal of surgery case reports
|November 20, 2024
概括
在腹腔镜手术期间可能发生膀损伤,特别是在 urachal 遗留物. 斜视CT扫描可以帮助诊断这些残留物,指导外科医生避免插入上端口并防止受伤.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 腹腔镜手术带有膀损伤的风险,这是一个罕见但严重的并发症.
- 患有 urachal 遗留物的患者在上阴口插入期间面临膀损伤的风险较高.
- 在成年人中,口腔残留不常见,这使得手术前诊断具有挑战性.
研究的目的:
- 报告腹腔镜手术期间由 urachal 遗留物引起的膀损伤病例.
- 为了强调探头部CT扫描对 urachal 遗骸的诊断效用.
- 提供建议,以预防尿残留患者的膀损伤.
主要方法:
- 一名46岁的男性患有第I期脑癌,经历了腹腔镜式脑切除术.
- 在直接视线下插入了一个上端口.
- 手术前CT扫描的术后审查显示了一个 urachal 遗留物,在 sagittal 视图上确定.
主要成果:
- 在移除上口后发现了膀损伤.
- 在同一次手术中,膀损伤在同一次手术中成功 sutured.
- 患者在术后恢复正常,并在术后第10天出院.
结论:
- 在成年人中,口腔残留不常见,并且在手术前很难诊断.
- 斜视CT扫描在检测 urachal 遗留物,特别是分离器类型方面是有效的.
- 预防措施包括小心地放置端口,并考虑手术前的尿道导管,特别是当怀疑有 urachal 遗留物时,避免上阴道三.
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