腹腔镜胃束带术所致医源性膈疝

Iatrogenic diaphragmatic hernia due to laparoscopic gastric banding.

作者信息

Dukhno Oleg, Peiser Jochanan, Levy Isaac, Ovnat Amnon

机构信息

Department of Surgery B, Soroka University Medical Center, Goldman Faculty of the Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.

出版信息

Surg Obes Relat Dis. 2006 Jan-Feb;2(1):61-3. doi: 10.1016/j.soard.2005.11.007.

DOI:10.1016/j.soard.2005.11.007

PMID:16925323

Abstract

A patient developed a huge diaphragmatic hernia following laparoscopic gastric banding. Almost the entire stomach was incarcerated within the left chest. Segmental necrosis of the greater curvature of the stomach necessitated partial gastrectomy. The postoperative course was uneventful. The etiology, diagnosis and treatment of this previously undescribed complication of laparoscopic gastric banding are addressed in relation to the present case.

摘要

一名患者在腹腔镜胃束带术后出现巨大膈疝。几乎整个胃被嵌顿在左胸腔内。胃大弯的节段性坏死需要进行部分胃切除术。术后过程顺利。结合本病例探讨了这种腹腔镜胃束带术此前未描述过的并发症的病因、诊断和治疗。