既往接受过开放手术患者的腹腔镜脾切除术治疗孤立性脾转移瘤——病例系列
Laparoscopic splenectomy for solitary splenic metastasis in patients with previous open surgery-Case series.
作者信息
Dimitrov Dimitrov Dobromir
机构信息
Department of Surgical Oncology, "G. Stranski" Hospital, Medical University, Pleven, Bulgaria; Department of Surgical Propaedeutics, Faculty of Medicine, Medical University, Pleven, Bulgaria.
出版信息
Int J Surg Case Rep. 2019;65:83-86. doi: 10.1016/j.ijscr.2019.10.044. Epub 2019 Oct 28.
INTRODUCTION
Solitary splenic metastases are a rare entity.
PRESENTATION OF A CASE
We report two consecutive cases of solitary splenic metastases from ovarian and rectal cancer which were completely removed by laparoscopic splenectomy in patients with previous open surgery. The operative time was 165-200 min. The blood loss was 25-100 ml. There were no intra- and postoperative complications.
CONCLUSION
Laparoscopic splenectomy for solitary splenic metastases seems safe and feasible with short recovery period even in patients with previous open surgery. More research in the area is needed.
引言
孤立性脾转移瘤是一种罕见的病症。
病例展示
我们报告了两例连续的分别源于卵巢癌和直肠癌的孤立性脾转移瘤病例，这两名患者先前接受过开放手术，此次通过腹腔镜脾切除术将转移瘤完全切除。手术时间为165 - 200分钟。失血量为25 - 100毫升。术中及术后均无并发症。
结论
对于孤立性脾转移瘤，即使是先前接受过开放手术的患者，腹腔镜脾切除术似乎也是安全可行的，且恢复时间短。该领域需要更多研究。
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