腹腔镜下前切除在患有腹腔关节分流的患者身上:一个病例报告
Salma Sait1, Abdulaziz Saleem2
1Department of Surgery, International Medical Center, Hail Street, Al-Ruwais, PO Box 2172, Jeddah 21451, Saudi Arabia.
Journal of surgical case reports
|February 23, 2026
概括
腹腔镜手术对于患有腹腔关节 (VP) 短路的成年患者来说是安全的. 这种案例研究表明,在患有VP分流的患者中, laparoscopic低前切除 (LAR) 成功,没有并发症.
科学领域:
- 医学科学 医学科学 医学科学
- 手术创新 在外科创新.
- 神经外科 神经外科
背景情况:
- 腹腔关节 (VP) 突变可以控制脑水症,但它们在腹腔镜手术中的安全性受到争议.
- 有限的成年人数据存在于腹腔镜手术患者的VP短路.
- 担忧包括分流器功能障碍和内压力变化.
研究的目的:
- 报告一个成功的腹腔镜前下切除 (LAR) 的病例,在一个成年患者身上进行了VP分离.
- 在这个患者群体中评估腹腔镜手术的安全性和可行性.
主要方法:
- 一名70岁的男性患有VP分流,接受了腹腔镜LAR治疗,以治疗直肠西格腺癌.
- 使用了低吸气压和间歇性淡气.
- 在整个过程中,VP分流器没有被紧.
主要成果:
- 腹腔镜LAR是在没有事件的情况下进行的.
- 患者没有经历神经或手术并发症.
- 在术后的第4天发生了出院.
结论:
- 腹腔镜外科手术可以安全地在选定的成人患者中进行,这些患者有VP分离器.
- 仔细的术后管理对于最小化风险至关重要.
- laparoscopic结肠切除是可行的和安全的VP分流患者适当的预防措施.
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