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腹腔镜治疗巨大破裂性脾囊肿:1例具有挑战性的病例报告

LAPAROSCOPIC APPROACH TO A GIANT RUPTURED SPLENIC CYST: A CHALLENGING CASE REPORT.

作者信息

Jain S, Patel K, Ganapathy K, Khan F, Sahu S, Singh A

机构信息

1Department of General Surgery, Jaipur National University, Jaipur, India.

2Department of Gynecology, Parul University, PO Limda, Tal. Waghodia, District Vadodara, Gujarat, India.

出版信息

Georgian Med News. 2023 Jul-Aug(340-341):280-283.

Abstract

Splenic cysts are rare; their absence of an epithelial wall determines whether they're real cysts or pseudocysts. Spontaneous nonparasitic actual tumors are those that develop early in life at the anterior pole of the splenic and are typically epidermoid, dermoid, or endodermal. Surgical therapy is suggested for symptomatic, large (more than 5 cm) cysts or complicated. Inhaling splenic excision is a substitute for surgery, depending on the quantity, location, connection to the hilus, and dimension of the tumors. With an emphasis on less invasive treatments that preserve the spleen, laparoscopic methods have already established themselves as the accepted method for treating numerous disorders, including splenic cysts. They describe the effective decapsulation of a massive epidermoid spleen tumor under a prolonged, partially endoscopic technique. Laparoscopy, an operation commonly referred to as surgery with minimally invasive or keyhole surgery, is a technique that makes many tiny incisions in the belly to carry out different surgical procedures.

摘要

脾囊肿很少见;其缺乏上皮壁决定了它们是真性囊肿还是假性囊肿。自发性非寄生虫性实体肿瘤是那些在生命早期于脾的前极发展形成的肿瘤,通常为表皮样囊肿、皮样囊肿或内胚层囊肿。对于有症状的、较大(超过5厘米)的囊肿或复杂囊肿,建议采用手术治疗。根据肿瘤的数量、位置、与脾门的关系及大小,脾部分切除术可替代全脾切除术。鉴于强调采用保留脾脏的微创治疗方法,腹腔镜手术已成为治疗包括脾囊肿在内的多种疾病的公认方法。他们描述了在一种延长的、部分内镜技术下对巨大表皮样脾肿瘤进行有效的囊肿剥除术。腹腔镜检查,一种通常被称为微创手术或钥匙孔手术的操作,是一种在腹部做许多微小切口以进行不同外科手术的技术。

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