Poon Chi-Ming, Leong Heng-Tat
Department of Surgery, North District Hospital, Sheung Shui, Hong Kong SAR, China.
JSLS. 2009 Oct-Dec;13(4):625-7.
We report a rare drain-related complication leading to small bowel obstruction after laparoscopic colectomy. An 82-year-old man developed small bowel obstruction on the second day after laparoscopic anterior resection. Emergency relaparoscopy found herniation of the small bowel mesentery into the side holes of the silicon intraabdominal drain, which led to a 90-degree acute turn of the small bowel and mechanical obstruction. The herniation was reduced, and the drain was removed laparoscopically.
我们报告了一例腹腔镜结肠切除术后罕见的与引流管相关的并发症，导致小肠梗阻。一名82岁男性在腹腔镜前切除术后第二天出现小肠梗阻。急诊再次腹腔镜检查发现小肠系膜疝入腹腔内硅胶引流管的侧孔，导致小肠呈90度急性扭转并机械性梗阻。将疝内容物还纳，并通过腹腔镜移除了引流管。
