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克罗恩病急性肠梗阻的急诊腹腔镜回盲部切除术

Emergency laparoscopic ileocecal resection for Crohn's acute obstruction.

作者信息

Vettoretto Nereo, Gazzola Luca, Giovanetti Maurizio

机构信息

Laparoscopic Surgical Unit, M. Mellini Hospital, Chiari (BS), UOS Chirurgia Laparoscopica, Azienda Ospedaliera M. Mellini, Viale Giuseppe Mazzini 4, 25032 Chiari (BS), Italy.

出版信息

JSLS. 2013 Jul-Sep;17(3):499-502. doi: 10.4293/108680813X13693422521872.

DOI:10.4293/108680813X13693422521872
PMID:24018097
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3771779/
Abstract

INTRODUCTION

Emergency surgery for Crohn's disease (CD) is a rare entity, and its indications are scant in the published literature. Emergency laparoscopy for small bowel obstruction has gained wide dissemination with the spread of advanced laparoscopic skills within surgical practice. Therefore, incidental terminal ileitis after exploration might be a more-common finding in the near future, and further studies are needed to better ascertain proper surgical treatment.

CASE DESCRIPTION

We report on a case of acute obstruction caused by undiagnosed terminal ileitis associated with CD.

DISCUSSION AND CONCLUSION

The patient underwent explorative laparoscopy and subsequent video-assisted ileocecal resection with an optimal outcome.

摘要

引言

克罗恩病（CD）的急诊手术是一种罕见情况，其手术指征在已发表的文献中较少见。随着先进腹腔镜技术在外科实践中的普及，用于小肠梗阻的急诊腹腔镜手术已得到广泛应用。因此，探查术后偶然发现的末端回肠炎在不久的将来可能会成为更常见的情况，需要进一步研究以更好地确定合适的手术治疗方法。

病例描述

我们报告一例由未确诊的与CD相关的末端回肠炎引起的急性梗阻病例。

讨论与结论

该患者接受了探查性腹腔镜手术及随后的视频辅助回盲部切除术，结果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/1b3d9e677f3c/jls0031330470003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/03b097f40ad9/jls0031330470001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/d407d1ce80e9/jls0031330470002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/1b3d9e677f3c/jls0031330470003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/03b097f40ad9/jls0031330470001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/d407d1ce80e9/jls0031330470002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f8ad/3771779/1b3d9e677f3c/jls0031330470003.jpg

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本文引用的文献

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Emergency and elective surgery for small bowel Crohn's disease.小肠克罗恩病的急症和择期手术。
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