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游走脾所致腹腔镜脾固定术:可行技术

Laparoscopic Splenopexy Due to Wandering Spleen: Feasible Technique.

作者信息

Sumer Fatih, Okut Gokalp, Kaplan Kuntay, Gunes Orgun, Kayaalp Cuneyt

机构信息

Gastrointestinal Surgery, Irmet Hospital International, Tekirdag, TUR.

Gastrointestinal Surgery, University of Health Sciences Izmir Bozyaka Training and Research Hospital, Izmir, TUR.

出版信息

Cureus. 2022 Feb 25;14(2):e22597. doi: 10.7759/cureus.22597. eCollection 2022 Feb.

Abstract

Wandering spleen (WS) is a rare disease caused by the looseness of the splenic ligaments. A 29-year-old female patient presented to the emergency department with complaints of abdominal pain and a palpable mass in the abdomen. A diagnosis of WS was made as a result of preoperative imaging. We performed urgent laparoscopic splenopexy with non-absorbable mesh in a patient with torsioned WS. WS is a disease that must be operated on urgently because it causes ischemia and necrosis in cases where it causes torsion in the splenic pedicle. Many researchers also recommend surgery in asymptomatic patients. While splenectomy was previously recommended for WS, current recommendations advocate for splenopexy. As a result, the only and definite treatment option in the case of WS is surgery. Splenopexy with minimally invasive techniques should be the first choice if possible. Splenopexy with non-absorbable mesh is an inexpensive and feasible method to prevent re-torsion. The use of non-absorbable mesh in laparoscopic splenopexy has not been shared before in the literature.

摘要

游走脾(WS)是一种由脾韧带松弛引起的罕见疾病。一名29岁女性患者因腹痛和腹部可触及肿块就诊于急诊科。术前影像学检查结果确诊为游走脾。我们对一名患有扭转性游走脾的患者使用不可吸收网片进行了紧急腹腔镜脾固定术。游走脾是一种必须紧急手术的疾病,因为在脾蒂扭转的情况下会导致缺血和坏死。许多研究人员也建议对无症状患者进行手术。虽然以前建议对游走脾进行脾切除术,但目前的建议主张进行脾固定术。因此,游走脾唯一明确的治疗选择是手术。如果可能,采用微创技术的脾固定术应作为首选。使用不可吸收网片进行脾固定术是一种预防再扭转的廉价且可行的方法。文献中此前尚未报道过在腹腔镜脾固定术中使用不可吸收网片。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8764/8957781/a5115972f81c/cureus-0014-00000022597-i01.jpg

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