Cintolo Jessica, Telem Dana A, Divino Celia M, Chin Edward H, Midulla Peter
The University of Pennsylvania, Philadelphia, Pennsylvania, USA.
JSLS. 2009 Oct-Dec;13(4):608-11. doi: 10.4293/108680809X12589999538110.
Standard treatment of large gastric bezoars not amenable to medical or endoscopic management is surgical removal. The optimal operative approach, laparotomy versus laparoscopy, is a contested subject. Though laparoscopic removal has been described, it remains a relatively new technique for surgical management with outcome literature limited to case reports. In addition, currently described laparoscopic techniques often involve limited midline laparotomy incisions or >3 cm extensions of port sites.
The following describes the case of a 4-year-old girl with a large gastric trichobezoar.
The gastric trichobezoar was successfully removed through a 12-mm left lower quadrant trocar incision cosmetically hidden within a skin crease.
This case, along with accumulating literature, supports the use of laparoscopy to treat large gastric bezoars.
对于无法通过药物或内镜治疗的大型胃结石，标准治疗方法是手术切除。最佳手术方式，即开腹手术与腹腔镜手术，是一个存在争议的话题。尽管已有腹腔镜切除的相关描述，但它仍是一种相对较新的手术治疗技术，相关结果的文献仅限于病例报告。此外，目前所描述的腹腔镜技术通常需要有限的中线剖腹切口或端口部位超过3厘米的延长切口。
以下描述了一名患有大型胃毛石的4岁女孩的病例。
胃毛石通过一个隐藏在皮肤褶皱中的12毫米左下象限套管针切口成功切除。
该病例以及不断积累的文献支持使用腹腔镜治疗大型胃结石。
