Martínez Denzil Garteiz, Sánchez Alejandro Weber, García Adolfo Pardo
Surgery Department, Angeles Lomas Hospital, México.
Surg Laparosc Endosc Percutan Tech. 2008 Feb;18(1):82-5. doi: 10.1097/SLE.0b013e318159e837.
A 53-year-old male patient underwent a Nissen fundoplication with short gastric vessel (SGV) division for gastroesophageal reflux disease. During the procedure, the upper pole of the spleen was noted to have discrete color changes suggesting ischemia of this area. One month later he presented with a splenic abscess, which required splenectomy. The clinical presentation and management of this case is reported and comments are made on surgical aspects of SGV division during fundoplication to prevent this potentially dangerous situation. Issues such as the surgical management of splenic abscesses, the limitations of laparoscopic splenectomy in these cases, and the risks and benefits of SGV division, are also discussed in this article.
一名53岁男性患者因胃食管反流病接受了带有短胃血管（SGV）离断的nissen胃底折叠术。术中发现脾脏上极有散在颜色改变，提示该区域缺血。1个月后，他出现了脾脓肿，需要进行脾切除术。本文报告了该病例的临床表现及处理，并对胃底折叠术中SGV离断的手术相关问题进行了评论，以预防这种潜在危险情况。本文还讨论了脾脓肿的外科处理、此类病例中腹腔镜脾切除术的局限性以及SGV离断的风险和益处等问题。
