用于空肠吻合口漏腔内负压治疗的“会师技术”
"Rendezvous technique" for intraluminal vacuum therapy of anastomotic leakage of the jejunum.
作者信息
Krajinovic K, Reimer S, Kudlich T, Germer C T, Wiegering A
机构信息
Department of General, Visceral, Vascular and Pediatric Surgery, University Hospital, Julius-Maximilians-University, University of Wuerzburg, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany.
Department of Internal Medicine II, University of Wuerzburg Medical Center, Oberduerrbacherstr. 2, 97080, Wuerzburg, Germany.
出版信息
Surg Case Rep. 2016 Dec;2(1):114. doi: 10.1186/s40792-016-0243-5. Epub 2016 Oct 18.
BACKGROUND
Anastomotic leakage (AL) is one of the most common and serious complications following visceral surgery. In recent years, endoluminal vacuum therapy has dramatically changed therapeutic options for AL, but its use has been limited to areas easily accessible by endoscope.
CASE PRESENTATION
We describe the first use of endoluminal vacuum therapy in the small intestine employing a combined surgical and endoscopic "rendezvous technique" in which the surgeon assists the endoscopic placement of an endoluminal vacuum therapy sponge in the jejunum by means of a pullback string. This technique led to a completely closed AL after 27 days and 7 changes of the endosponge.
CONCLUSION
The combined surgical and endoscopic rendezvous technique can be useful in cases of otherwise difficult endosponge placement.
背景
吻合口漏（AL）是内脏手术后最常见且严重的并发症之一。近年来，腔内负压治疗极大地改变了AL的治疗选择，但它的应用仅限于内镜易于到达的区域。
病例报告
我们描述了首次在小肠中使用腔内负压治疗，采用手术和内镜联合的“会师技术”，即外科医生通过牵拉线辅助将腔内负压治疗海绵在内镜引导下放置于空肠。该技术在27天及更换7次腔内负压治疗海绵后使AL完全闭合。
结论
手术与内镜联合会师技术在腔内负压治疗海绵放置困难的病例中可能有用。
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