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腹腔镜袖状胃切除术后的淋巴漏;临床表现、处理及文献综述

Lymphatic leakage after laparoscopic sleeve gastrectomy; presentation, management and review of the literature.

作者信息

Bora Makal G

机构信息

Medical Park Batıkent Private Hospital, Department of Surgery, Ankara, Turkey.

出版信息

Ann R Coll Surg Engl. 2020 Jul;102(6):e115-e117. doi: 10.1308/rcsann.2020.0037. Epub 2020 Apr 1.

DOI:10.1308/rcsann.2020.0037
PMID:32233848
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7388948/
Abstract

The lymphatic system is a vital network of lymphatic vessels that carries liquid fluids, long-chain fatty acids and proteins from capillaries back to the vascular system and clears interstitial debris and bacteria. Lymphatic leakage is a condition not uncommon after many abdominal surgeries. It can lead to immunodeficiency and nutritional abnormalities. Moreover, it has high morbidity and mortality, ranging between 40% and 70%, depending on the presence of an underlying condition. A few lymphatic leakage cases after bariatric surgery have been reported in the literature. We report the first case of lymphatic leakage after sleeve gastrectomy, which was treated with conservative treatment.

摘要

淋巴系统是一个由淋巴管组成的重要网络,它将液体、长链脂肪酸和蛋白质从毛细血管带回血管系统,并清除间质碎片和细菌。淋巴漏是许多腹部手术后并不罕见的一种情况。它可导致免疫缺陷和营养异常。此外,其发病率和死亡率很高,根据潜在疾病的存在情况,在40%至70%之间。文献中已报道了几例减肥手术后发生淋巴漏的病例。我们报告了首例袖状胃切除术后发生淋巴漏的病例,该病例采用保守治疗。

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本文引用的文献

1
Repair of major lymphatic duct injury during laparoscopic sleeve gastrectomy.腹腔镜袖状胃切除术中主要淋巴管损伤的修复
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Chylous ascites mimicking peritonitis after laparoscopic Roux-en-Y gastric bypass for morbid obesity.腹腔镜Roux-en-Y胃旁路术治疗病态肥胖后出现酷似腹膜炎的乳糜性腹水。
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Successful management of chyloperitoneum after laparoscopic adjustable gastric banding in 2 patients.2例腹腔镜可调节胃束带术后乳糜腹的成功管理。
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4
Chyloperitoneum after laparoscopic Roux-en-Y gastric bypass (LRYGB).腹腔镜 Roux-en-Y 胃旁路术(LRYGB)后乳糜性腹腔积液。
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Chylous ascites: a collective review.乳糜性腹水:综述
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