癌症患儿急性阑尾炎的腹腔镜手术
Laparoscopic Surgery for Acute Appendicitis in Children With Cancer.
作者信息
Singer Julia, Stringel Gustavo, Ozkaynak Mehmet Fevzi, McBride Whitney, Pandya Samir, Sandoval Claudio
出版信息
JSLS. 2015 Jul-Sep;19(3). doi: 10.4293/JSLS.2015.00066.
Abstract
INTRODUCTION
Abdominal pain during cancer chemotherapy may be caused by medical or surgical conditions. A retrospective review of 5 children with cancer who had appendicitis while receiving chemotherapy was performed.
CASE DESCRIPTIONS
Three had acute lymphoblastic leukemia,and 1 each had T-cell lymphoblastic lymphoma and rhabdomyosarcoma. Two of the patients had a Pediatric Appendectomy Score of 6, and 1 each had a score of 7, 5, and 2. All had evidence of appendicitis on computed tomography. Laparoscopic appendectomy was performed without any perioperative complication.
DISCUSSION
Appendicitis is an important diagnosis in children with cancer, and laparoscopic appendectomy is safe and the procedure of choice.
摘要
引言
癌症化疗期间的腹痛可能由内科或外科疾病引起。对5例在化疗期间患阑尾炎的癌症患儿进行了回顾性研究。
病例描述
3例患有急性淋巴细胞白血病，1例患有T细胞淋巴母细胞淋巴瘤，1例患有横纹肌肉瘤。2例患者的小儿阑尾炎评分是6分，另外3例分别为7分、5分和2分。所有患者的计算机断层扫描均显示有阑尾炎迹象。均进行了腹腔镜阑尾切除术，无任何围手术期并发症。
讨论
阑尾炎是癌症患儿的一项重要诊断，腹腔镜阑尾切除术安全且是首选术式。
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