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Spigelian 疝中嵌顿的阑尾通过机器人辅助手术治疗。

Incarcerated Epiploic Appendix in a Spigelian Hernia Treated by Robotic-Assisted Surgery.

机构信息

Department of Surgery, Montefiore Medical Center, The Bronx, NY.

Division of General Surgery, NYU Langone Health, New York, NY.

出版信息

CRSLS. 2023 Jun 9;10(2). doi: 10.4293/CRSLS.2023.00008. eCollection 2023 Apr-Jun.

DOI:10.4293/CRSLS.2023.00008
PMID:37313356
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10258872/
Abstract

INTRODUCTION

We report a case of a patient who presented with incarceration of the epiploic appendix in a spigelian hernia, subsequently treated by a robotic-assisted surgical approach.

CASE DESCRIPTION

This is a case of a 52 year-old male patient who presented with nausea and two-week history of worsening left lower quadrant pain. On examination, the patient had an irreducible left lower quadrant mass. Computed tomography scan showed an epiploic appendagitis in a left Spigelian hernia. The patient underwent a robotic transabdominal preperitoneal hernia repair successfully and was discharged home the same day.

CONCLUSION

The robotic platform was a safe and effective approach to treating the patient with no postoperative complications.

摘要

简介

我们报告了一例患者，其表现为网膜阑尾嵌顿于旋髂窝疝，随后采用机器人辅助手术治疗。

病例描述

这是一例 52 岁男性患者，表现为恶心和两周左下腹疼痛加重。体格检查发现左下腹不可复性肿块。计算机断层扫描显示左侧旋髂窝疝合并阑尾炎。患者成功接受了机器人经腹腹膜前疝修补术，当天出院回家。

结论

机器人平台是治疗该患者的一种安全有效的方法，无术后并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/d907d8c724f1/LS-JSLS230015F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/b0e94120e313/LS-JSLS230015F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/622f1f6de53c/LS-JSLS230015F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/d907d8c724f1/LS-JSLS230015F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/b0e94120e313/LS-JSLS230015F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/622f1f6de53c/LS-JSLS230015F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/197d/10258872/d907d8c724f1/LS-JSLS230015F003.jpg

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本文引用的文献

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Robotic Inguinal vs Transabdominal Laparoscopic Inguinal Hernia Repair: The RIVAL Randomized Clinical Trial.机器人腹股沟与经腹腹腔镜腹股沟疝修补术：RIVAL 随机临床试验。
JAMA Surg. 2020 May 1;155(5):380-387. doi: 10.1001/jamasurg.2020.0034.
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Epiploic Appendagitis in a Femoral Hernia.股疝中的网膜附件炎
J Radiol Case Rep. 2019 May 31;13(5):10-14. doi: 10.3941/jrcr.v13i5.3639. eCollection 2019 May.
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Robotic repair of symptomatic Spigelian hernias: a series of three cases and surgical technique review.症状性半月线疝的机器人修复：三例病例系列及手术技术回顾
J Robot Surg. 2018 Sep;12(3):557-560. doi: 10.1007/s11701-017-0742-9. Epub 2017 Aug 28.
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Epiploic appendagitis within a Spigelian hernia.半月线疝内的网膜附件炎
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Mesh-free laparoscopic spigelian hernia repair.无网片腹腔镜里氏疝修补术
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[Frequency and epidemiology of primary epiploic appendagitis on CT in adults with abdominal pain].[成人腹痛患者原发性网膜附件炎CT表现的频率及流行病学]
J Radiol. 2008 Feb;89(2):235-43. doi: 10.1016/s0221-0363(08)70399-8.
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Acute epiploic appendagitis in hernia sac: CT appearance.疝囊内急性网膜附件炎：CT表现
Emerg Radiol. 2005 Jun;11(4):226-7. doi: 10.1007/s10140-004-0391-y.
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Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial.白线疝开放修补术与腹腔镜修补术：一项前瞻性随机试验
Arch Surg. 2002 Nov;137(11):1266-8. doi: 10.1001/archsurg.137.11.1266.