紧急胃切除术后腹膜后脓肿的治疗,手术腹膜外入路的老年患者-个案报告。

Q4 Medicine
J Šimo, P Babál, V Javorka
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引用次数: 0

摘要

腹膜后脓肿是腹部和腹膜后手术后相对罕见但严重的并发症,通常是由于术后愈合障碍造成的。发病率不高,文献中多以病例报道为主,临床病程严重,发病率和死亡率高。在CT检查成功诊断后,有效治疗的最重要因素是迅速清除脓肿和腹膜后引流,其中微创手术或放射引流是主要选择的方法。手术引流具有较高的发病率和死亡率,被认为是微创方法失败后的最后手段。在我们的病例报告中,我们提出了一例腹膜后脓肿,作为胃切除术后的并发症,由于不适合放射干预,主要是手术引流。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retroperitoneal abscess after urgent resection of the stomach in a geriatric patient treated with a surgical extraperitoneal approach - case report.

Retroperitoneal abscess after abdominal and retroperitoneal surgery is a relatively rare but serious complication that most often occurs as a result of a healing disorder in the postoperative period. The incidence is not high, in the literature the cases are mostly reported as case reports with a serious clinical course, high morbidity and mortality. The most important factor of effective treatment, after successful diagnosis by CT examination is rapid evacuation of the abscess and retroperitoneal drainage, in which mini-invasive surgical or radiological drainage dominate as methods of choice. Surgical drainage, burdened by higher morbidity and mortality is considered the last resort after failure of mini-invasive methods. In our case report, we present a case of retroperitoneal abscess, arising as a complication after gastric resection, which was evacuated and drained primarily surgically due to unsuitability for radiological intervention.

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来源期刊
Rozhledy v Chirurgii
Rozhledy v Chirurgii Medicine-Medicine (all)
CiteScore
0.50
自引率
0.00%
发文量
67
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