Hirayama Isao, Ide Munenori, Shoji Hisanori, Nakamura Jun-Ichi, Fujita Kin-Ichi, Iizuka Haruhisa, Oshimoto Koichi, Hisada Takeshi, Sato Tetsuro, Mori Masatomo, Asao Takayuki, Kuwano Hiroyuki
Department of General Surgical Science (Surgery I), Gunma University, Graduate School of Medicine, Maebashi, Japan.
Hepatogastroenterology. 2005 May-Jun;52(63):823-5.
Crohn's disease can involve any part of the gastrointestinal tract. Although good conservative treatment is given as soon as possible, most patients with this disease will eventually require surgery. We encountered a case of Crohn's disease associated with anemia which we treated with laparoscopic-assisted ileectomy. The postoperative course was satisfactory. The most important characteristic of Crohn's disease, fat wrapping and extending over the serosal surface toward the antimesenteric border, was observed in the ileum, distinguishing the disease and pinpointing the lesion accurately. This surgical method has an advantage over open surgery in that the recovery time is shorter and incisions are smaller, allowing easier surgery in the future, shortening the patient's hospital stay, and improving the patient's quality of life.
克罗恩病可累及胃肠道的任何部位。尽管尽快给予了良好的保守治疗,但大多数该疾病患者最终仍需要手术。我们遇到一例克罗恩病合并贫血的患者,我们采用腹腔镜辅助回肠切除术对其进行了治疗。术后病程顺利。在回肠观察到了克罗恩病最重要的特征,即脂肪包绕并延伸至浆膜表面朝向系膜对侧缘,这有助于鉴别该疾病并准确确定病变部位。这种手术方法相对于开放手术具有优势,即恢复时间更短、切口更小,便于未来实施手术,缩短患者住院时间,并提高患者的生活质量。