Yu Hong, Wu Shuodong, Zhu Renzhong, Yu Xiaopeng
Department of General Surgery, Sheng Jing Hospital, China Medical University, Shenyang, China.
J Minim Access Surg. 2016 Apr-Jun;12(2):182-5. doi: 10.4103/0972-9941.169986.
Adult intussusception is rare and laparotomy is required in most of the cases due to the potential pathologic underlying reasons. Although it is technically challenging, single-incision laparoscopic surgery can work as an alternative to laparotomy. Here we report the case of a 45-year-old man with intermittent right lower quadrant abdominal pain for 1 month. Abdominal enhanced computed tomography (CT) scan was performed and ileo-ileal intussusception was found, with lipoma as a likely leading point. Ileal resection was performed using the single-incision laparoscopic-assisted technique. Multiple trocars in the umbilical incision technique and conventional instruments were used. After identification of the ileo-ileal intussusception, the involved small bowel was extracted from the umbilical incision, and resection and anastomosis were performed extracoporeally. The operation time was 65 min and the post-operative hospital stay was 2 days. The patient recovered uneventfully, with better cosmetic results.
成人肠套叠较为罕见，由于潜在的病理原因，大多数病例需要进行剖腹手术。尽管单孔腹腔镜手术在技术上具有挑战性，但它可以作为剖腹手术的替代方法。在此，我们报告一例45岁男性，间歇性右下腹痛1个月。进行了腹部增强计算机断层扫描（CT），发现回肠-回肠套叠，脂肪瘤可能是套叠的起始点。采用单孔腹腔镜辅助技术进行了回肠切除术。使用了脐部切口技术中的多个套管针和传统器械。在确定回肠-回肠套叠后，将受累小肠从脐部切口取出，在体外进行切除和吻合。手术时间为65分钟，术后住院时间为2天。患者恢复顺利，美容效果更佳。
