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霍奇金病病程中腹腔镜脾切除术并发胰腺囊肿：病例报告

Laparoscopic splenectomy complicated by pancreatic cyst in the course of Hodgkin's disease: case report.

作者信息

Krasowski Grzegorz, Budzynski Andrzej, Miodoński Maciej, Seweryn-Serkis Katarzyna, Janus Werner

机构信息

Opole University of Technology, Opole, Poland ; Surgical Ward, Krapkowice Health Center, Krapkowice, Poland.

2 Chair of Surgery, Jagiellonian University College Medical, Krakow, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2013 Dec;8(4):352-6. doi: 10.5114/wiitm.2011.35086. Epub 2013 May 13.

DOI:10.5114/wiitm.2011.35086
PMID:24501607
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3908637/
Abstract

This paper describes a case of a patient suffering from Hodgkin's disease and treated by means of minimally invasive surgery: laparoscopic splenectomy. The performance of laparoscopic splenectomy led to a complication in the form of a pancreatic cyst. The cyst was subjected to endoscopic procedures (endoscopic retrograde cholangiopancreatography, with a shaft to the pancreatic tract) and percutaneous drainage. The application of the above methods allowed for a quick introduction of causative treatment. Because in the case in question open surgery methods would impede the introduction of systemic treatment, minimally invasive surgery techniques (laparoscopy and endoscopy) were applied and are discussed below.

摘要

本文描述了一例患有霍奇金淋巴瘤并接受微创手术治疗的患者

腹腔镜脾切除术。腹腔镜脾切除术引发了胰腺囊肿形式的并发症。该囊肿接受了内镜手术（内镜逆行胰胆管造影术，导管插入胰管）及经皮引流。上述方法的应用使得能够迅速开展病因治疗。由于在该病例中开放手术方法会妨碍全身治疗的开展，因此采用了微创手术技术（腹腔镜检查和内镜检查），并在下文进行讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/74d3da5e804e/WIITM-8-20815-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/e3031de139c8/WIITM-8-20815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/58f36e545618/WIITM-8-20815-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/d9acf4287bf7/WIITM-8-20815-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/a4593bdcecfa/WIITM-8-20815-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/ee1bd61618fb/WIITM-8-20815-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/cb78c94a2e06/WIITM-8-20815-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/672a77591de5/WIITM-8-20815-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/74d3da5e804e/WIITM-8-20815-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/e3031de139c8/WIITM-8-20815-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/58f36e545618/WIITM-8-20815-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/d9acf4287bf7/WIITM-8-20815-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/a4593bdcecfa/WIITM-8-20815-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/ee1bd61618fb/WIITM-8-20815-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/cb78c94a2e06/WIITM-8-20815-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/672a77591de5/WIITM-8-20815-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dda/3908637/74d3da5e804e/WIITM-8-20815-g008.jpg

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本文引用的文献

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Prevention of early infective complications after laparoscopic splenectomy with the Garamycin sponge.使用庆大霉素海绵预防腹腔镜脾切除术后早期感染性并发症
Wideochir Inne Tech Maloinwazyjne. 2012 Jun;7(2):105-10. doi: 10.5114/wiitm.2011.27151. Epub 2012 Mar 27.
2
Do we really need routine drainage after laparoscopic adrenalectomy and splenectomy?腹腔镜肾上腺切除术和脾切除术后真的需要常规引流吗？
Wideochir Inne Tech Maloinwazyjne. 2012 Mar;7(1):33-9. doi: 10.5114/wiitm.2011.25610. Epub 2011 Nov 8.