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肾母细胞瘤右肾切除术后盲肠扭转:我们需要缝合侧腹膜吗?

Cecal Volvulus following a Right Nephrectomy for Wilms' Tumor: Should We Need to Close the Lateral Peritoneum?

作者信息

Gonzalez-Urquijo Mauricio, Ovalle-Chao Christian, Flores-Villalba Eduardo, de Jesus Garza-Luna Ulises, Velazco-De La Garza Jose Humberto, Garza-Serna Ulises

机构信息

Department of Surgery, Escuela de Medicina, Tecnologico de Monterrey, Monterrey, Nuevo Leon, Mexico.

Department of Paediatric Surgery, Universidad Autonoma de Nuevo Leon, San Nicolas de los Garza, Nuevo Leon, Mexico.

出版信息

European J Pediatr Surg Rep. 2018 Jan;6(1):e1-e3. doi: 10.1055/s-0037-1612634. Epub 2018 Jan 8.

Abstract

Wilms' tumor (WT) accounts for 90% of all pediatric renal malignant tumors. The most common postoperative complication based on the National Wilms' Tumor Study is small bowel obstruction. We report on a 2-year-old girl with postoperative bowel obstruction following a right nephrectomy for WT. The patient was reintervened 48 hours after surgery and a cecal volvulus was found. Here, we will describe possible causes of this postoperative complication and discuss management.

摘要

肾母细胞瘤(WT)占所有小儿肾恶性肿瘤的90%。根据国家肾母细胞瘤研究,最常见的术后并发症是小肠梗阻。我们报告一例2岁女童,因肾母细胞瘤行右肾切除术后发生肠梗阻。患者术后48小时再次接受干预,发现盲肠扭转。在此,我们将描述这种术后并发症的可能原因并讨论处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bb3/5758359/a2fc68b91cdf/10-1055-s-0037-1612634-i170357cr-1.jpg

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