Vadalà S, Cinardi N, Li Volti G, Foresta G, Giannone G
Department of Oncology, G. Garibaldi Hospital, Via Palermo, Catania, Italy.
Tech Coloproctol. 2008 Sep;12(3):259-61. doi: 10.1007/s10151-008-0418-6. Epub 2008 Jun 10.
Data continue to grow regarding the safety and technical feasibility of laparoscopically assisted total mesorectal excision (TME). As this minimally invasive alternative to open colonic resection becomes more popular, it is inevitable that information on the benefits and complications associated with it will continue to expand. Portal vein thrombosis (PVT) has been reported after a variety of laparoscopic procedures. We report a case of superior mesenteric, splenic and portal vein thrombosis following laparoscopically assisted TME. To our knowledge, this complication of laparoscopic TME has not been previously reported in the literature. PVT should be ruled out in patients who present with vague abdominal symptoms. The course of this complication, while potentially devastating, is usually benign and responds well to lysis and/or anticoagulation.
关于腹腔镜辅助全直肠系膜切除术（TME）的安全性和技术可行性的数据持续增加。随着这种开放性结肠切除术的微创替代方法越来越受欢迎，与之相关的益处和并发症的信息必然会不断扩展。门静脉血栓形成（PVT）在各种腹腔镜手术后均有报道。我们报告一例腹腔镜辅助TME术后发生肠系膜上静脉、脾静脉和门静脉血栓形成的病例。据我们所知，这种腹腔镜TME的并发症此前在文献中尚未有报道。对于出现模糊腹部症状的患者应排除PVT。这种并发症的病程虽然可能具有毁灭性，但通常是良性的，对溶栓和/或抗凝治疗反应良好。
