Targarona Eduardo M, Hernandez Pilar M, Balague Carmen, Martinez Carmen, Hernández J, Pulido Daniel, Berindoague Rene, Trias Manuel
Department of Surgery, Service of General and Digestive Surgery, Hospital Sant Pau, Autonomous University of Barcelona, Barcelona, Spain.
Surg Laparosc Endosc Percutan Tech. 2008 Oct;18(5):536-8. doi: 10.1097/SLE.0b013e31818135ad.
To present 3 cases of secreting villous adenoma (McKittrick-Wheelock syndrome) successfully treated with laparoscopic surgery.
We present 3 cases, characterized by chronic diarrhea and requiring hospitalization owing to electrolyte and fluid depletion with acute renal failure. Owing to the extension and location of the adenomas, laparoscopic surgery (low anterior resection or procto-sigmoidectomy resection) was performed after medical treatment and endoscopic diagnosis. Postoperative recovery was satisfactory.
When colonoscopic resection is not feasible in cases of secreting villous adenomas owing to their size or location, laparoscopic surgery in expert hands is a safe, effective, and complete option, further enhanced by the benefits of minimally invasion surgery.
介绍3例经腹腔镜手术成功治疗的分泌性绒毛状腺瘤（麦基特里克 - 惠洛克综合征）病例。
我们呈现3例病例，其特征为慢性腹泻，并因电解质和液体耗竭伴急性肾衰竭而需要住院治疗。由于腺瘤的范围和位置，在药物治疗和内镜诊断后进行了腹腔镜手术（低位前切除术或直肠乙状结肠切除术）。术后恢复情况令人满意。
当分泌性绒毛状腺瘤因大小或位置原因无法进行结肠镜切除时，由经验丰富的医生进行腹腔镜手术是一种安全、有效且彻底的选择，微创外科手术的优势进一步增强了其效果。
