用口腔转移和腹部脂管切除治疗的反复发生的副腹腔:一个病例报告
Rakan Mal1, Khalid Alshehri2, Raneem Alathath3
1Department of General Surgery, King Abdulaziz Hospital, Jeddah, SAU.
Cureus
|January 30, 2026
概括
侧腹 (PSH) 修复是具有挑战性的. 一个复杂的复发性PSH病例被用开放式重建,静脉管移位和生物合成网进行治疗,显示短期成功.
科学领域:
- 腹壁外科手术 腹壁外科手术
- Hernia 修复 椎间板裂的修复
- 手术并发症 手术并发症
背景情况:
- 副胃 (PSH) 是一个频繁的并发症后,口腔形成.
- 复发性PSH带来了重大的重建挑战,通常需要复杂的手术干预.
- 已经采用了腹腔镜技术,但高复发率仍然存在.
研究的目的:
- 报告一次 laparoscopic Sugarbaker 修复后复发的半体的病例.
- 描述一个替代的开放腹壁重建方法复杂的复杂复杂的PSH.
- 评估这一重建战略的短期成果.
主要方法:
- 一名75岁的女性,有直肠癌,腹腔切除和末端结肠直肠切除病史,呈现出复发性PSH.
- 最初的腹腔镜Sugarbaker修复失败,导致在六个月内复发.
- 随后的开放腹壁重建包括脂管切除,静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉静脉
主要成果:
- 开放式重建手术在技术上是可行的,尽管腹部内粘附密度很高.
- 患者经历了一个无事件的术后过程.
- 短期随访 (六周) 没有显示复发的临床或放射性证据.
结论:
- 复发性PSH的 laparoscopic 修复可能在技术上很苛刻,存在复发的风险.
- 在复杂的复发性PSH病例中,开放的腹壁重建与静脉管移动和上层网格增强提供了一个可行的选择.
- 长期持久性和复发率需要进一步评估,因为后续调查有限.
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