Possibilities of Laparoscopic Decompression of Celiac Trunk in the Treatment of Dunbar Syndrome

Y. Ivanov, Иванов Юрий Викторович, A. V. Chupin, Чупин Андрей Валерьевич, D. N. Panchenkov, Панченков Дмитрий Николаевич, P. Orekhov, Орехов Павел Юрьевич, A. A. Terehin, Терехин Алексей Алексеевич
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Abstract

Presented clinical case laparoscopic decompression of celiac trunk syndrome of Dunbar. In most cases, the diagnosis of syndrome of compression of the celiac trunk is by exclusion of other gastrointestinal diseases. Sure, it tells about lack of awareness among the medical community about this specific and rare pathology, as well as a possible skeptical attitude towards it related professionals. The main methods of diagnostics of a syndrome of Dunbar are: ultrasonic duplex scanning of the abdominal aorta, multislice computed tomography and angiography with a respiratory samples. The indication for surgical treatment is the ineffectiveness of conservative therapy, the preservation of the leading symptoms of abdominal ischemia on the ground proved critical in compression of the celiac trunk. Currently, laparoscopic decompression of celiac trunk syndrome Dunbar is the operation of choice. The obvious advantages of laparoscopic surgery are less blood loss, a slight pain syndrome in the postoperative period, short hospital period and better cosmetic effect. In the clinic, where surgeons proficient in the technique of laparoscopic procedures, the surgery can be performed quickly, safely, and efficiently. Additional intervention in the form of endovascular correction is not required in all patients and can be performed in a delayed order.
腹腔镜下腹腔干减压治疗邓巴综合征的可能性
报告腹腔镜下腹腔干减压术治疗邓巴综合征的临床病例。在大多数情况下,乳糜干压迫综合征的诊断是通过排除其他胃肠道疾病。当然,它反映了医学界对这种特殊而罕见的病理缺乏认识,以及对相关专业人员可能持怀疑态度。诊断邓巴综合征的主要方法有:腹主动脉超声双层扫描、多层计算机断层扫描和呼吸样本血管造影。手术治疗的指征是保守治疗无效,在地面上保存腹部缺血的主要症状证明对腹腔干压迫至关重要。目前,腹腔镜下腹腔干减压邓巴综合征是手术的首选。腹腔镜手术明显的优点是出血量少,术后疼痛综合征轻微,住院时间短,美容效果好。在诊所,外科医生熟练掌握腹腔镜手术技术,手术可以快速、安全、有效地进行。并非所有患者都需要以血管内矫正的形式进行额外干预,可以按延迟顺序进行。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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