相关实验视频
Updated: May 16, 2025
04:38
Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
242
在内镜检查期间在十二指肠中发现的下静脉波器的外科切除:一个案例报告
Ye Chan Jeong1, Seung-Kee Min1
1Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
Vascular specialist international
|May 15, 2025
概括
下静脉膜过器 (IVCFs) 放置多年后,可能会导致晚期并发症,如十二指肠透. 这一案例证明了长期保留的IVCF的成功外科切除,强调了需要登记和早期检索的需要.
科学领域:
- 血管外科 血管外科
- 胃肠病学 胃肠病学
- 医疗器械并发症 医疗器械并发症
背景情况:
- 下腔静脉过器 (IVCF) 用于通过捕获血块来预防肺栓塞.
- 长时间保留IVCFs可能会导致严重的并发症,包括邻近器官的迁移和穿孔.
- 由IVCF支架穿透十二指肠是一种罕见但显著的晚期并发症.
研究的目的:
- 报告一个由下 vena cava 波器支架进行的晚期十二指肠孔穿的病例.
- 描述这种并发症的成功手术治疗方法.
- 突出IVCF注册表的重要性和及时检索过器.
主要方法:
- 一名68岁的男性患者在胃肠腺镜检查期间偶然发现了十二指肠中的IVCF突起.
- 该患者10年前有预防性IVCF安置病史.
- 通过中线切口进行开放的外科探索进行了IVCF切除,随后进行了十二指肠修复.
主要成果:
- 发现IVCF支架嵌入了下静脉壁和周围组织.
- 一个IVCF支架穿透了十二指肠壁.
- 过器的外科切除和随后的十二指肠缺陷 suturing 在没有立即的术后并发症完成.
结论:
- 长期保留IVCFs可能导致严重并发症,包括十二指甲孔穿孔.
- 开放式手术可以是一种安全有效的方法来切除深深嵌入或穿孔的IVCFs.
- 这些发现强调了全面的IVCF注册和早期过器清除策略的关键需求,以减轻风险.
相关概念视频
01:18Veins of the Abdomen and Pelvis
389
The human body is a complex system of interconnected parts, and the circulatory system plays a crucial role in maintaining overall health. One key component of this system is the inferior vena cava, a large vein responsible for returning blood from the abdominopelvic viscera and abdominal walls to the heart.
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
The inferior vena cava is fed by numerous smaller veins. The lumbar veins, for instance, drain the posterior abdominal wall, emptying both directly into the inferior vena cava and into the...
389
01:28Endoscopic Procedures III: Video Capsule Endoscopy
60
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
60
01:26Endoscopic Procedures V: ERCP
42
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
42
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
40
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
40