成年肥胖患者人工心包补片腹腔镜修补 Morgagni 疝
Laparoscopic repair of Morgagni hernia by artificial pericardium patch in an adult obese patient.
作者信息
Li Shuhai, Liu Xiaochuan, Shen Yaxing, Wang Hao, Feng Mingxiang, Tan Lijie
机构信息
1 Department of Thoracic Surgery, Qilu Hospital, Shandong University, Jinan 250012, China ; 2 Department of Cardiothoracic Surgery, People's Hospital of Guang'an City, Guang'an 638001, China ; 3 Department of Thoracic Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
出版信息
J Thorac Dis. 2015 Apr;7(4):754-7. doi: 10.3978/j.issn.2072-1439.2015.03.15.
BACKGROUND
Morgagni hernia is a kind of rare congenital diaphragmatic hernia. We reported a case of Morgagni hernia repaired successfully with artificial pericardium patch via the laparoscopic approach.
METHODS
The patient was admitted with a 3-month history of postprandial nausea and vomiting, and accompanied by epigastric pain. Computed tomography (CT) scans showed a large anteromedial diaphragmatic hernia. The hernial contents were reduced back into the abdominal cavity and the diaphragmatic defect was repaired with artificial pericardium patch by laparoscopic intracorporeal suture.
RESULTS
We achieved satisfactory intracorporeal repair of this large diaphragmatic defect. The patient had excellent recovery and started on oral diet on the first postoperative day, and then was discharged just two days after operation.
CONCLUSIONS
The minimally invasive advantage of laparoscopic approach offers a secure, reliable and satisfactory way to confirm the diagnosis and achieve the repair of non-complicated Morgagni hernia.
背景
莫尔加尼疝是一种罕见的先天性膈疝。我们报告了一例通过腹腔镜手术用人造心包补片成功修复莫尔加尼疝的病例。
方法
该患者因餐后恶心呕吐3个月入院，伴有上腹部疼痛。计算机断层扫描（CT）显示巨大的前内侧膈疝。将疝内容物还纳回腹腔，通过腹腔镜体内缝合用人造心包补片修复膈肌缺损。
结果
我们成功地对这个巨大的膈肌缺损进行了体内修复。患者恢复良好，术后第一天开始经口进食，术后仅两天就出院了。
结论
腹腔镜手术的微创优势为确诊和修复非复杂性莫尔加尼疝提供了一种安全、可靠且令人满意的方法。
Zotero 插件