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腹腔镜脾固定术治疗游走脾:腹膜外袋状脾固定术

Laparoscopic splenopexy for wandering spleen: extraperitoneal pocket splenopexy.

作者信息

Fukuzawa Hiroaki, Urushihara Naoto, Ogura Kaoru, Miyazaki Eiji, Matsuoka Takanori, Fukumoto Koji, Kimura Syuri, Mitsunaga Maki, Hasegawa Shiro

机构信息

Department of Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.

出版信息

Pediatr Surg Int. 2006 Nov;22(11):931-4. doi: 10.1007/s00383-006-1760-2.

DOI:10.1007/s00383-006-1760-2
PMID:16944182
Abstract

Wandering spleen is a very rare disease. It is a very dangerous condition due to the risk of splenic ischemia from persistent pedicle torsion. Here, we describe a case of wandering spleen diagnosed by ultrasound and computed tomography scans in an 11-year-old boy who suffered from frequent urination and enuresis. A laparoscopic splenopexy was successfully performed with fixation of the spleen in an extraperitoneal pocket. Since the operation, the organ has remained in place with good perfusion. The details of the procedure are described.

摘要

游走脾是一种非常罕见的疾病。由于持续性脾蒂扭转导致脾缺血的风险,这是一种非常危险的病症。在此,我们描述一例11岁男孩的游走脾病例,该男孩因尿频和遗尿通过超声和计算机断层扫描得以诊断。成功实施了腹腔镜脾固定术,将脾脏固定于腹膜外腔隙。自手术以来,该器官一直处于原位,血供良好。文中描述了手术的详细过程。

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本文引用的文献

1
WANDERING SPLEEN WITH TORSION OF THE PEDICLE.游走脾伴蒂扭转
Ann Surg. 1933 Oct;98(4):722-35. doi: 10.1097/00000658-193310000-00020.
2
Laparoscopic pocket splenopexy for wandering spleen: a case report.腹腔镜袋状脾固定术治疗游走脾:一例报告
J Pediatr Surg. 2005 May;40(5):882-4. doi: 10.1016/j.jpedsurg.2005.02.009.
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The technique of laparoscopic retroperitoneal splenopexy for symptomatic wandering spleen in childhood.小儿症状性游走脾的腹腔镜腹膜后脾固定术技术
胃扭转复发患者游走脾的发生率较高,需要进行腹腔镜胃固定术和脾固定术。
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Laparoscopic Splenopexy Due to Wandering Spleen: Feasible Technique.游走脾所致腹腔镜脾固定术:可行技术
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Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh.腹腔镜脾固定术治疗游走脾:用聚甘醇酸 910 编织网环绕脾脏的技术视频演示。
Surg Endosc. 2017 Dec;31(12):5427-5428. doi: 10.1007/s00464-017-5630-x. Epub 2017 Jul 21.
7
Single-incision laparoscopic splenectomy and splenic autotransplantation for an enlarged wandering spleen with torsion.单孔腹腔镜脾切除术及脾自体移植治疗游走脾肿大伴扭转
European J Pediatr Surg Rep. 2014 Jun;2(1):23-5. doi: 10.1055/s-0033-1357262. Epub 2013 Oct 10.
8
Ectopic spleen: An easily identifiable but commonly undiagnosed entity until manifestation of complications.异位脾:一种在并发症出现之前易于识别但通常未被诊断出来的病症。
Int J Surg Case Rep. 2014;5(8):451-4. doi: 10.1016/j.ijscr.2014.05.010. Epub 2014 May 28.
9
Spontaneous massive hemoperitoneum: A potentially life threatening presentation of the wandering spleen.自发性大量腹腔积血:游走脾的一种潜在危及生命的表现。
N Am J Med Sci. 2011 Feb;3(2):99-102. doi: 10.4297/najms.2011.399.
10
Paediatric wandering spleens in Malawi.马拉维的小儿游走脾
Malawi Med J. 2010 Dec;22(4):120-1. doi: 10.4314/mmj.v22i4.63948.
J Pediatr Surg. 2005 Mar;40(3):575-7. doi: 10.1016/j.jpedsurg.2004.11.020.
4
Clinical presentation of wandering spleen.游走脾的临床表现。
J Pediatr Surg. 2002 Oct;37(10):E30. doi: 10.1053/jpsu.2002.35443.
5
Laparoscopic splenopexy for adult wandering spleen: sandwich method with two sheets of absorbable knitted mesh.成人游走脾的腹腔镜脾固定术:使用两片可吸收编织网片的三明治法
Surg Laparosc Endosc Percutan Tech. 2000 Oct;10(5):332-4.
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Laparoscopic splenopexy for pediatric wandering spleen.小儿游走脾的腹腔镜脾固定术
J Pediatr Surg. 1998 Oct;33(10):1571-3. doi: 10.1016/s0022-3468(98)90503-6.
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The wandering spleen.游走脾
Arch Dis Child. 1996 Mar;74(3):247-8. doi: 10.1136/adc.74.3.247.
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Pediatric wandering spleen--the case for splenopexy: review of 35 reported cases in the literature.小儿游走脾——脾固定术的病例分析:文献中35例报告病例的综述
J Pediatr Surg. 1989 May;24(5):432-5. doi: 10.1016/s0022-3468(89)80395-1.
9
Elective splenopexy for wandering spleen.游走脾的择期脾固定术
J Pediatr Surg. 1990 Feb;25(2):270-2. doi: 10.1016/0022-3468(90)90438-f.
10
Torsion of the spleen managed by splenopexy.通过脾固定术治疗的脾扭转。
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