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腹腔镜治疗骶前脊膜膨出。

Laparoscopic treatment of anterior sacral meningocele.

作者信息

Trapp Claudemir, Farage Luciano, Clatterbuck Richard E, Romero Frederico R, Rais-Bahrami Soroush, Long Donlin M, Kavoussi Louis R

机构信息

Department of Urology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

出版信息

Surg Neurol. 2007 Oct;68(4):443-8; discussion 448. doi: 10.1016/j.surneu.2006.11.067.

Abstract

BACKGROUND

Anterior sacral meningocele is a rare congenital malformation, whose open surgical treatment is well accepted. We present a laparoscopic approach as an adjunctive approach.

METHODS

Five women who underwent laparoscopic transperitoneal surgery were clinically, radiologically, and surgically evaluated.

RESULT

All 5 patients underwent laparoscopic transperitoneal surgery and showed satisfactory results. They had no major complications. Three patients had headaches as minor complications, but it was gone in at most 3 days. Decrease in operative time, blood loss, and length of hospitalization were the advantages of the procedure.

CONCLUSIONS

The laparoscopic approach to treating anterior sacral meningocele was feasible and safe, with only minor complications.

摘要

背景

骶前脑脊膜膨出是一种罕见的先天性畸形,其开放手术治疗已被广泛接受。我们介绍一种作为辅助方法的腹腔镜手术方法。

方法

对5例行腹腔镜经腹手术的女性患者进行临床、影像学和手术评估。

结果

所有5例患者均接受了腹腔镜经腹手术,结果令人满意。他们没有严重并发症。3例患者出现头痛作为轻微并发症,但最多3天就消失了。手术时间、失血量和住院时间的减少是该手术的优点。

结论

腹腔镜治疗骶前脑脊膜膨出的方法可行且安全,仅伴有轻微并发症。

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