腹膜后腹腔镜主动脉旁淋巴结清扫术后腹主动脉夹层
Aortic abdominal dissection after retroperitoneal laparoscopic paraaortic lymphadenectomy.
作者信息
Angeles Martina Aida, Meyrignac Olivier, Martínez-Gómez Carlos, Daboussi Amel, Segal Jean, Del Mathilde, Ferron Gwénaël, Martinez Alejandra
机构信息
Department of Surgical Oncology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse (IUCT) - Oncopole, Toulouse, France.
Department of Radiology, Institut Claudius Regaud - Institut Universitaire du Cancer de Toulouse (IUCT) - Oncopole, Toulouse, France.
出版信息
Gynecol Oncol Rep. 2019 May 9;29:25-28. doi: 10.1016/j.gore.2019.05.001. eCollection 2019 Aug.
•Acute aortic abdominal dissection is a rare complication of retroperitoneal laparoscopic paraaortic lymph node dissection.•Aortic dissection may be part of differential diagnoses in patients with groin and abdominal pain after paraaortic staging.•Uncomplicated type B aortic abdominal dissection should be managed during the subacute phase.•Early contrast-enhanced computed tomography should be performed in case of abdominal pain after paraaortic lymphadenectomy.•Retroperitoneal laparoscopic paraaortic lymph node dissection should be performed at referral cancer centers.
•急性腹主动脉夹层是腹膜后腹腔镜主动脉旁淋巴结清扫术的一种罕见并发症。
•主动脉夹层可能是主动脉旁分期术后出现腹股沟和腹痛患者鉴别诊断的一部分。
•非复杂性B型腹主动脉夹层应在亚急性期进行处理。
•主动脉旁淋巴结切除术后若出现腹痛，应尽早进行增强CT检查。
•腹膜后腹腔镜主动脉旁淋巴结清扫术应在转诊癌症中心进行。
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