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病例报告:保留回盲部用于多处小肠重复畸形

Case report: Ileocecal preservation for multiple small intestinal duplications.

作者信息

Xu Hongxiu, Liu Weiqiang, Liu Chunqing, Zhai Yunpeng, Zhao Huashan, Guo Rui, Lv Longfei, Zhang Shisong

机构信息

Department of Thoracic and Oncological Surgery, Children's Hospital Affiliated to Shandong University, Jinan, China.

Department of Thoracic and Oncological Surgery, Jinan Children's Hospital, Jinan, China.

出版信息

Front Pediatr. 2023 Jun 5;11:1205155. doi: 10.3389/fped.2023.1205155. eCollection 2023.

Abstract

Small-intestinal duplication is a rare congenital developmental anomaly that is mainly single; multiple small-intestinal duplications are rare. Most malformations are located in the ileocecal region. The primary surgical treatment is complete resection of the malformations and adjacent intestinal ducts. However, the ileocecal junction plays an important role in children, and it is difficult to preserve it; multiple intestinal repairs increase the risk of postoperative intestinal fistula, which is a challenge for pediatric surgeons. Herein, we report a case of ileocecal preservation surgery for the treatment of multiple small intestinal duplication malformations near the ileocecal area. The child underwent laparoscopically assisted cyst excision and multiple intestinal repairs and had good postoperative recovery and follow-up.

摘要

小肠重复畸形是一种罕见的先天性发育异常,主要为单发;多发小肠重复畸形较为少见。多数畸形位于回盲部。主要的手术治疗方法是完整切除畸形及相邻肠管。然而,回盲部在儿童中起着重要作用,难以保留;多次肠道修复会增加术后肠瘘的风险,这对小儿外科医生来说是一项挑战。在此,我们报告一例保留回盲部手术治疗回盲部附近多发小肠重复畸形的病例。该患儿接受了腹腔镜辅助囊肿切除及多次肠道修复,术后恢复良好且随访情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/837b/10277474/ec4bfe25aa2c/fped-11-1205155-g001.jpg

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