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[根治性前列腺切除联合广泛淋巴结清扫术后左髂外动脉下方的内疝]

[Internal herniation underneath the left external iliac artery after radical prostatectomy with extensive lymph node dissection].

作者信息

Frostberg Erik

出版信息

Ugeskr Laeger. 2019 Feb 25;181(9).

Abstract

A 65-year-old male underwent acute surgery because of a partly ischaemic small intestine due to internal herniation underneath the left external iliac artery. The iatrogenic defect in the peritoneum was created 15 months earlier, when the patient had a robot-assisted radical prostat-ectomy with pelvic lymph node dissection performed. The ischaemic small bowel was resected under a laparotomy, and creation of a temporary stoma was necessary. The peritoneal defect was left open. The patient recovered, and the stoma was surgically closed two months later.

摘要

一名65岁男性因左髂外动脉下方内疝导致部分小肠缺血而接受了急诊手术。15个月前,患者接受机器人辅助根治性前列腺切除术及盆腔淋巴结清扫术时造成了医源性腹膜缺损。在剖腹手术中切除了缺血的小肠,且有必要造一个临时造口。腹膜缺损未予缝合。患者康复,两个月后通过手术关闭了造口。

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