Viktorin-Baier Pascal, Randazzo Marco, Medugno Cristoforo, John Hubert
Department of Urology, Kantonsspital Winterthur, 8400 Winterthur, Switzerland.
Department of Surgery, Kantonsspital Frauenfeld, Frauenfeld, Switzerland.
Urol Case Rep. 2016 Jun 4;8:9-11. doi: 10.1016/j.eucr.2016.05.003. eCollection 2016 Sep.
Small bowel herniation underneath the iliac vessel after transperitoneal pelvic lymphadenectomy is a rare complication. This report describes the first case of bowel incarceration behind the external iliac artery after transperitoneal robotic-assisted radical prostatectomy with extended lymph node dissection in a patient with prostate cancer 1 year after surgery. After diagnosis on CT scan, an open resection of the ischemic bowel was performed. Because of thrombosis, the external iliac artery was opened, the clot was removed and the elongated artery was resected with end-to-end anastomosis. In case of a meandering iliac artery, a retroperitonealization after pelvic lymphadenectomy might be discussed.
经腹盆腔淋巴结清扫术后小肠疝入髂血管下方是一种罕见的并发症。本报告描述了首例前列腺癌患者在经腹机器人辅助根治性前列腺切除术并扩大淋巴结清扫术后1年，髂外动脉后方出现肠管嵌顿的病例。经CT扫描诊断后，对缺血肠管进行了开放切除。由于血栓形成，切开髂外动脉，清除血栓，并切除延长的动脉后进行端端吻合。对于存在迂曲髂动脉的情况，可能需要讨论盆腔淋巴结清扫术后的腹膜后化处理。
