Belgrano Valerio, Bagge Roger Olofsson, Scordamaglia Chiara, Scordamaglia Renato
Division of Surgical Oncology, Department of Surgical Sciences and Integrated Diagnostics (DISC) IRCCS San Martino - IST, University of Genoa, Genoa, Italy.
Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy at University of Gothenburg, Sahlgrenska University Hospital, Göteborg, Sweden.
Wideochir Inne Tech Maloinwazyjne. 2015 Apr;10(1):129-32. doi: 10.5114/wiitm.2015.48732. Epub 2015 Jan 27.
Ingestion of foreign bodies is a common medical problem frequently observed in children, psychiatric patients and prisoners. Various cases have been found in the medical literature, with different diagnostic and therapeutic approaches. We report a case of a 41-year-old male inmate, hospitalized for right upper quadrant pain of the abdomen due to the ingestion of two syringe needles two weeks previously. We describe the diagnostic procedure and the removal of one of the two needles that had migrated into the liver parenchyma, using a single-incision laparoscopic surgical technique. The operation was carried out safely through a 2.5 cm transverse incision below the umbilicus. The dissection and the removal of the foreign body were easily conducted under direct visualization using a minimally invasive surgical technique. Our case report demonstrates the efficacy and the security of the laparoscopic treatment in such a challenging area, employing a single port access only.
吞食异物是儿童、精神病患者和囚犯中常见的医学问题。医学文献中已发现各种病例，诊断和治疗方法各异。我们报告一例41岁男性囚犯的病例，他因两周前吞食两根注射器针头而因右上腹疼痛入院。我们描述了诊断过程以及使用单切口腹腔镜手术技术取出迁移至肝实质的两根针头之一的过程。手术通过脐下2.5厘米的横向切口安全进行。在直视下使用微创外科技术轻松进行异物的解剖和取出。我们的病例报告证明了在如此具有挑战性的区域采用单孔入路进行腹腔镜治疗的有效性和安全性。
