Pickron T Bartley, Cooper Jason
Colorectal Surgical Associates, Houston, Texas 77054, USA.
JSLS. 2009 Apr-Jun;13(2):224-5.
Surgical therapy remains the mainstay for the treatment of endometriosis. In this case report, we review the surgical management of a patient who presented with a cecal implant of endometriosis. She was successfully treated with combined laparoscopic hysterectomy and ileocecal resection. The laparoscopic ileocecal resection was completed with an intracorporeal anastomosis and retrieval of the specimen through the vaginal cuff. This presentation demonstrates the feasibility of combined colon resection and hysterectomy as well as vaginal colon specimen extraction. The vagina as a colon specimen retrieval site has significant implications for the future of natural orifice colorectal surgery.
手术治疗仍然是子宫内膜异位症治疗的主要手段。在本病例报告中,我们回顾了一名患有盲肠子宫内膜异位症患者的手术治疗情况。她通过腹腔镜子宫切除术和回盲部切除术联合治疗获得成功。腹腔镜下的回盲部切除术通过体内吻合完成,并经阴道断端取出标本。本病例展示了结肠切除术和子宫切除术联合以及经阴道取出结肠标本的可行性。将阴道作为结肠标本取出部位对自然腔道结直肠手术的未来具有重要意义。