环状胰腺的原发性分割:一种外科技术。

IF 0.4 Q4 SURGERY
Journal of Surgical Case Reports Pub Date : 2024-11-18 eCollection Date: 2024-11-01 DOI:10.1093/jscr/rjae712
Kai-Zheong Lim, Alice Lee, Daniel Croagh
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引用次数: 0

摘要

作者介绍了一例 61 岁男性的十二指肠梗阻病例,通过影像学检查(计算机断层扫描、磁共振胰胆管造影和内镜超声)确诊为环状胰腺。患者接受了腹腔镜诊断手术。术中,考虑到环状胰腺覆盖十二指肠的第二部分,外观和解剖结构简单明了,而且腹腔内有广泛粘连,因此对环状胰腺进行了初次分割,而不是胃空肠吻合术等旁路手术。术后一周,他出现了一些残留症状,在内镜下进行了十二指肠扩张治疗。在术后一年的复查和随访中,他的症状得到了缓解,并在术后 4 个月进行的计算机断层扫描中发现放射性症状有所改善。我们认为,与旁路手术相比,这种方法的发病率更低,恢复期更短,是环状胰腺的合理治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Primary division of annular pancreas: a surgical technique.

The authors presented a case of duodenal obstruction in a 61-year-old man, resulting from an annular pancreas diagnosed on imaging (computed tomography, magnetic resonance cholangiopancreatography, and endoscopic ultrasound). The patient underwent a diagnostic laparoscopy. Intraoperatively, given a straightforward appearance and anatomy of the annular pancreas overlying the second part of the duodenum, and due to extensive adhesions in the abdomen, a primary division of the annular pancreas was performed, instead of a bypass procedure such as gastrojejunostomy. He had some residual symptoms 1 week postoperatively which was treated with duodenal dilatation endoscopically. On review and follow-up at 1 year, he has remained well with resolution of symptoms, supported by radiological improvement on a computed tomography performed at 4 months post-operatively. We believe this approach has resulted in less morbidity and a shorter period of recovery as compared to a bypass procedure and represents a reasonable therapeutic option for annular pancreas.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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