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成功的 laparoscopy-assisted extirpation Burkitt的淋巴瘤导致肠道阻塞在一个17岁的男孩

Zoltán Derzsi^1,2, Zsolt Bara^1,2, Emőke Horváth^3,4

¹Department of Pediatric Surgery and Orthopedics, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540142 Târgu Mureș, Romania.

Journal of clinical medicine

|January 8, 2025

概括

laparoscopy辅助手术有效地移除了阻碍伯基特的障碍.

科学领域:

儿科瘤学儿科瘤学
手术瘤学手术瘤学
最少侵入性的手术

背景情况:

儿童B细胞非霍奇金淋巴瘤,主要是伯基特淋巴瘤 (BL),通常需要密集化疗.
虽然手术通常仅限于活检,但对于急性腹部等严重情况,可能需要紧急干预.
一般来说,对于儿科BL,不建议进行 Ablative 手术.

研究的目的:

介绍一个成功的紧急手术的病例,用于由伯基特淋巴瘤引起的肠道阻塞.
评估腹腔镜辅助瘤切除在患有腹壁透症的儿科患者中的实用性.
为突出儿童固体腹部瘤出现阻塞的外科考虑.

主要方法:

一名17岁的男性因瘤质量而出现肠道阻塞.
探索性腹腔镜检查显示,腹膜壁透的ileocaecal地区有一个大的腹内质量.
瘤和透物被用腹腔镜辅助方法整体移除.

主要成果:

患者经历了良好的术后过程,并开始化疗.
组织病理学证实了伯基特淋巴瘤 (BL).
治疗后的随访,包括PET扫描,没有显示瘤复发,患者在两年多的时间内保持无症状.

结论:

腹腔镜辅助切除是儿童固体腹部瘤导致阻塞的可行选择,特别是腹壁参与.
在紧急情况下,手术指示和手术程序应以手术前成像和手术内发现为指导.
在儿科BL中,除性微创手术 (MIS) 的作用是有限的,在可行的情况下强调保守的方法.

关键词:

伯基特淋巴瘤是一种淋巴瘤孩子们的孩子们的孩子们的孩子们.肠道阻塞肠道阻塞输入输入输入输入腹腔镜检查是指腹腔镜检查.

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