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腹腔镜下主要血管损伤:两例报告及文献复习

Laparoscopic Major Vascular Injuries Report of Two Cases and Review.

作者信息

Shaikh Nissar, E-Amara Umm, Sajeer Athika, Malik Rohma, Nawaz Shoaib, Idayathulla Shajahan, Tharayil Abdul Gafoor M, Nashwan Abdulqadir J

机构信息

Surgical Intensive Care Department, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar.

Nursing Department, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar.

出版信息

Int Med Case Rep J. 2023 Jan 5;16:7-11. doi: 10.2147/IMCRJ.S394281. eCollection 2023.

Abstract

Laparoscopic surgery is the standard of care for various abdominal pathologies due to its apparent advantages. Unintentional and accidental injuries of the intraabdominal organs and vessels caused by trocars and Veress needles are rare, but potentially fatal complications of laparoscopic surgery. Veress needle and trocar can cause major vascular, bowel, or urinary tract injuries. We report two cases of vascular laparoscopic entry injuries. Laparoscopic entry injuries are rare but life-threatening and can cause multiple organ dysfunctions. Therefore, early recognition, aggressive resuscitation, and appropriate management of laparoscopic entry injuries are vital for better outcomes.

摘要

由于其明显的优势,腹腔镜手术是治疗各种腹部疾病的标准治疗方法。套管针和韦雷斯针引起的腹腔内器官和血管的意外和偶然损伤很少见,但却是腹腔镜手术潜在的致命并发症。韦雷斯针和套管针可导致主要血管、肠道或泌尿道损伤。我们报告两例腹腔镜穿刺导致的血管损伤病例。腹腔镜穿刺损伤很少见,但危及生命,可导致多器官功能障碍。因此,早期识别、积极复苏以及对腹腔镜穿刺损伤进行适当处理对于获得更好的治疗效果至关重要。

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