[在开放式全囊切除术后,对西格结肠癌进行 laparoscopic sigmoidectomy 的一个案例]
Junpei Takashima1, Hirotoshi Kobayashi, Ayaka Koizumi
1Dept. of Surgery, Teikyo University School of Medicine Mizonokuchi Hospital.
Gan to kagaku ryoho. Cancer & chemotherapy
|February 17, 2025
概括
对结肠癌进行 laparoscopic sigmoidectomy 是可行的和安全的,在患者之前的膀癌开放囊切除术. 这种最少的侵入性方法提供精确的机动,即使有广泛的粘附,确保患者的恢复.
科学领域:
- 手术瘤学手术瘤学
- 最少侵入性的手术
- 胃肠病学 胃肠病学
背景情况:
- 之前的膀癌开放激素囊切除术可能会导致广泛的腹内粘附.
- 在有重大腹部手术史的患者中诊断西格结肠癌,会带来独特的外科挑战.
研究的目的:
- 报告一个成功的腹腔镜西格莫切除术的病例西格莫结肠癌在一个有开放全囊切除术病史的患者.
- 评估微创手术的可行性和安全性,在复杂的瘤病例之前进行广泛的手术.
主要方法:
- 一名73岁的男性先前进行了开放性囊切除术,并接受了腹腔镜式西格莫切除术 (D3剖析) 进行西格莫结肠癌.
- 手术策略包括仔细剖析,避免交叉骨头,并优先调动近IMA根部,以保护尿道和阴道管道.
主要成果:
- laparoscopic sigmoidectomy 在没有尿管或大肠管损伤的情况下成功完成.
- 患者经历了无事件的恢复,并在术后第7天出院.
结论:
- 对于西格结肠癌的 laparoscopic 手术是可行的和安全的,即使在患者之前的开放手术显著粘附.
- 腹腔镜的放大视图和精确控制在具有挑战性的患者群体中对复杂的瘤切除有好处.
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