Zhu Renzhong, Jian Zhiyuan, Yu Hong
Department of Gastrointestinal Surgery, Affiliated Hospital of Guilin Medical University, Guilin, China.
Department of General Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Wideochir Inne Tech Maloinwazyjne. 2018 Jun;13(2):266-269. doi: 10.5114/wiitm.2018.73350. Epub 2018 Feb 7.
The aim of this paper is to present the case of a 40-year-old man who accidentally ingested a piece of metal. The patient complained of having intermittent right lower quadrant abdominal pain for 2 days. An abdominal X-ray was performed, and a piece of metal was found in the right lower quadrant of the abdomen. There was no gas in the abdominal cavity. Surgical treatment was therefore needed. Single-incision laparoscopic surgery (SILS) was attempted with conventional laparoscopic instruments. The foreign body was identified around the ileocecal region, an enterostomy was made and the foreign body was successfully removed. Subsequently, the incised ileocecal was wall sutured. The time for this surgery was 1 h with little bleeding. The patient made a quick recovery with a good cosmetic outcome. Based on this case, the use of SILS-assisted technique in the removal of an ileocecal foreign body proves to be safe and feasible.
本文旨在介绍一名40岁男性意外吞食一块金属的病例。患者主诉右下腹部间歇性疼痛2天。进行了腹部X线检查，发现腹部右下腹有一块金属。腹腔内无气体。因此需要进行手术治疗。尝试使用传统腹腔镜器械进行单孔腹腔镜手术（SILS）。在回盲部周围发现异物，进行了肠造口术并成功取出异物。随后，对切开的回盲部肠壁进行缝合。该手术用时1小时，出血很少。患者恢复迅速，美容效果良好。基于此病例，SILS辅助技术用于取出回盲部异物被证明是安全可行的。
