Svraka Melina, Wilhelmsen Michał, Bulut Orhan
Department of Surgical Gastroenterology, Copenhagen University Hospital Hvidovre, Copenhagen, Denmark.
Pol Przegl Chir. 2017 Oct 31;89(5):19-22. doi: 10.5604/01.3001.0010.5405.
Although internal hernias are rare complications of laparoscopic colorectal surgery, they can lead to serious outcomes and are associated with a high mortality of up 20 %.
The aim of this study was to describe our experience regarding internal herniation following laparoscopic colorectal surgery.
From 2009 to 2015, more than 1,093 laparoscopic colorectal procedures were performed, and 6 patients developed internal herniation. Data were obtained from patients' charts and reviewed retrospectively. Perioperative course and outcomes were analyzed.
All patients were previously operated due to colorectal cancer. Two patients presented with ischemia at laparotomy, and 2 had endoscopic examinations before surgery. One patient was diagnosed with cancer on screening colonoscopy. One patient died after laparotomy.
Internal herniation that develops following laparoscopic colorectal surgery may be associated with a high mortality. More efforts should be made to identify risk factors of internal herniation, as this could indicate which patients would benefit from closure of mesenteric defects during laparoscopic colorectal surgery.
虽然内疝是腹腔镜结直肠手术罕见的并发症，但可导致严重后果，且死亡率高达20%。
本研究旨在描述我们在腹腔镜结直肠手术后发生内疝方面的经验。
2009年至2015年期间，共进行了1093例以上的腹腔镜结直肠手术，其中6例发生内疝。数据取自患者病历并进行回顾性分析。分析围手术期过程及结果。
所有患者既往均因结直肠癌接受手术。2例患者剖腹手术时出现缺血，2例患者术前接受了内镜检查。1例患者在筛查结肠镜检查时被诊断为癌症。1例患者剖腹手术后死亡。
腹腔镜结直肠手术后发生的内疝可能与高死亡率相关。应更加努力地识别内疝的危险因素，因为这可能表明哪些患者将从腹腔镜结直肠手术期间关闭肠系膜缺损中获益。
