单孔腹腔镜手术治疗伴有肠套叠的盲肠癌:病例报告。

IF 0.7 Q4 SURGERY
Yuhei Oshima, Yasuhiro Ishiyama, Hiroto Tanaka, Tadatsugu Fujii, Naoto Okazaki, Toshimasa Ishii, Katuya Deguchi, Yasumitsu Hirano, Isamu Koyama
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引用次数: 0

摘要

背景:大多数成人肠套叠病例都是由结直肠癌引起的,当出现腹痛和呕吐等症状时需要进行紧急手术。通常情况下,患者必须同时接受肠减压术和结直肠癌根治术,而开腹手术通常是首选:一名 86 岁的妇女因腹泻和血便来我院就诊。术前检查发现,横结肠晚期存在癌瘤,并有肠套叠。采用腹腔镜单孔技术,通过脐部小切口成功实施了根治手术,治疗了由盲肠癌引起的肠套叠:结论:这种单孔腹腔镜手术仅在脐部有一个伤口,与需要四到五个切口的内窥镜手术相比,创伤要小得多。此外,患者在出院时没有出现重大并发症,如果这种手术技术将来被确立为标准手术方法,将大有裨益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-port laparoscopic surgery for cecum cancer with intussusception: a case report.

Background: Most adult cases of intussusception are caused by colorectal cancer, and emergency surgery is performed when symptoms such as abdominal pain and vomiting are present. The patient must customarily undergo both bowel decompression and radical surgery for colorectal cancer at the same time, and laparotomy is generally the procedure of choice.

Case presentation: An 86-year-old woman presented to our hospital with diarrhea and bloody stools. Preoperative examination revealed the presence of a cancerous tumor in the advanced part of the transverse colon and bowel intussusception. Radical surgery was successfully performed using the laparoscopic single-port technique through a small incision at the umbilical site to treat intussusception caused by cecum cancer.

Conclusions: With only one wound site at the umbilicus, this single-port laparoscopic approach is much less invasive than endoscopic surgery that requires four to five incision wounds to perform the procedure. Furthermore, the patient was discharged without major complications and this surgical technique could be of great benefit if established as a standard procedure in the future.

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