Sasaki Yutaro, Yamamoto Yasuyo, Kobayashi Saki, Nishi Masaaki, Takahashi Masayuki, Furukawa Junya
Department of Urology, Tokushima University Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan.
Department of Digestive Surgery and Transplantation, Tokushima University Graduate School of Biomedical Sciences, 3-18-15 Kuramoto, Tokushima, 770-8503, Japan.
Urol Case Rep. 2023 Nov 29;52:102629. doi: 10.1016/j.eucr.2023.102629. eCollection 2024 Jan.
We herein report a case of successful laparoscopically assisted transperineal repair of anterior enterocele dehiscence with small bowel evisceration after robot-assisted radical cystectomy. A 75-year-old woman underwent robot-assisted radical cystectomy with anterior vaginectomy and urethrectomy for bladder cancer (pTisN0M0). Vaginal reconstruction was performed using the posterior vaginal wall. Four months after surgery, she presented with small bowel evisceration due to anterior enterocele dehiscence. She underwent laparoscopically assisted transperineal repair. The anterior enterocele dehiscence did not occur at the vaginal closure site but instead between the vaginal wall and posterior pubic bone. No recurrence had developed at 2 months postoperatively.
我们在此报告一例在机器人辅助根治性膀胱切除术后成功通过腹腔镜辅助经会阴修复前肠膨出裂开并伴有小肠脱出的病例。一名75岁女性因膀胱癌（pTisN0M0）接受了机器人辅助根治性膀胱切除术、前阴道切除术和尿道切除术。使用阴道后壁进行阴道重建。术后四个月，她因前肠膨出裂开出现小肠脱出。她接受了腹腔镜辅助经会阴修复术。前肠膨出裂开并非发生在阴道闭合部位，而是发生在阴道壁与耻骨后骨之间。术后2个月未出现复发。
