两例腹腔镜腹会阴联合切除术后会阴疝的病例报告及手术技术的改良建议
Two case reports of perineal hernia after laparoscopic abdominoperineal resection with a proposed modification to the operative technique.
作者信息
Ewan L C, Charleston P J, Pettit S H
机构信息
Blackpool Teaching Hospitals NHS Foundation Trust, UK.
出版信息
Ann R Coll Surg Engl. 2014 Mar;96(2):e9-10. doi: 10.1308/003588414X13814021677476.
Abstract
Perineal hernia is a rare complication following laparoscopic abdominoperineal resection (APR) for rectal cancer. We present two case reports of perineal hernia following laparoscopic APR and discuss their management. We suggest that they developed because the pelvic peritoneum was left open during laparoscopic APR and propose that closure of the pelvic peritoneum should be routine in this operation.
摘要
会阴疝是直肠癌腹腔镜腹会阴联合切除术（APR）后一种罕见的并发症。我们报告两例腹腔镜APR术后会阴疝的病例，并讨论其处理方法。我们认为其发生是因为腹腔镜APR术中盆腔腹膜未关闭，并建议在该手术中常规关闭盆腔腹膜。
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