Mizuno Tomoya, Ishizaki Yoichi, Komuro Yuzo, Yoshimoto Jiro, Sugo Hiroyuki, Miwa Ken, Kawasaki Seiji
Department of Hepatobiliary-Pancreatic Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan.
Am J Surg. 2007 Apr;193(4):511-3. doi: 10.1016/j.amjsurg.2006.03.011.
Occasional cases of malignant seeding of cancer cells along the catheter tract, particularly affecting the skin, have been reported after percutaneous biliary drainage. Although radical resection of the abdominal wall may achieve long-term postoperative survival, reconstruction of large abdominal defects that cannot be closed primarily is problematic. We describe the successful surgical repair of a full-thickness defect of the abdominal wall using a free tensor fascia lata musculofasciocutaneous flap anastomosed to the intraabdominal gastroepiploic vessels.
经皮胆道引流术后，已有沿导管路径发生癌细胞恶性种植的偶发病例报道，尤其是累及皮肤的情况。尽管腹壁根治性切除可能实现术后长期生存，但对无法一期缝合的大面积腹壁缺损进行重建仍存在问题。我们描述了一例成功的腹壁全层缺损手术修复病例，采用游离阔筋膜张肌肌筋膜皮瓣与腹内胃网膜血管吻合。
