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手辅助腹腔镜下自发性食管破裂一期缝合术:病例报告

Primary closure of a spontaneous esophageal rupture under hand-assisted laparoscopy: a case report.

作者信息

Mikami Ryuichi, Nakamoto Yoshihiko, Ikeda Hirokuni, Kayata Hiroyuki, Murakami Teppei, Yamamoto Mitsuo

机构信息

Department of Surgery, Kobe City Medical Center West Hospital, 4-2 Ichibancho, Nagata-ku, Kobe City, Hyogo, 653-0013, Japan.

出版信息

Surg Case Rep. 2016 Dec;2(1):70. doi: 10.1186/s40792-016-0204-z. Epub 2016 Jul 23.

Abstract

Spontaneous rupture of the esophagus, which is also known as Boerhaave's syndrome, is a rare life-threatening condition that requires urgent surgical management. The optimal treatment involves surgical repair of the esophageal defect, which is usually accomplished via laparotomy, thoracotomy, or both, and mediastinal debridement. Here, we report a case of spontaneous rupture of the esophagus that was treated with suturing repair and drain insertion using a hand-assisted laparoscopic approach.

摘要

食管自发性破裂,也称为博赫哈夫综合征,是一种罕见的危及生命的疾病,需要紧急手术治疗。最佳治疗方法包括修复食管缺损,通常通过剖腹手术、开胸手术或两者结合来完成,并进行纵隔清创术。在此,我们报告一例采用手辅助腹腔镜方法进行缝合修复和引流管置入治疗的食管自发性破裂病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02f2/4958390/4e997bee2caf/40792_2016_204_Fig1_HTML.jpg

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