Fraser Jason D, Leys Charles M, St Peter Shawn D
Department of Surgery, The Children's Mercy Hospital, Kansas City, Missouri 64108, USA.
J Laparoendosc Adv Surg Tech A. 2009 Dec;19(6):835-7. doi: 10.1089/lap.2008.0367.
Trichobezoars from the ingestion of hair typically develop into a large, spherical foreign body within the stomach. Due to the frequently large size, endoscopic removal is usually not feasible beyond diagnosis. Likewise, the size often has forced surgeons to remove these trichobezoars via laparotomy. Laparoscopic removal of gastric trichobezoars has been reported, but the concern with this technique is that the complete removal of the large bezoar without spillage of hairs in the peritoneal cavity may be difficult. As such, most of the reports are laparoscopic assisted, but still utilize an extended incision to facilitate direct removal from the peritoneal cavity. In this case, we describe in this paper the complete laparoscopic removal of a giant trichobezoar in a 10-year-old child without spillage, using piecemeal removal through the umbilical incision without extending the incisions.
因摄入毛发形成的胃石通常会在胃内发展成一个大的球形异物。由于其通常体积较大，除诊断外，内镜下取出通常不可行。同样，其大小常常迫使外科医生通过剖腹手术来取出这些胃石。已有报道采用腹腔镜取出胃石，但该技术的问题在于，完整取出大的胃石而不使毛发在腹腔内溢出可能很困难。因此，大多数报道是腹腔镜辅助下进行，但仍需延长切口以利于从腹腔直接取出。在本病例中，我们在本文中描述了通过脐部切口分块取出，未延长切口，完整地在腹腔镜下为一名10岁儿童取出巨大胃石且无溢出。
