一例腹腔镜右肾切除术后引流管插入部位出现5毫米切口疝的病例报告。
A case report of a 5 mm port site hernia that occurred at the drain insertion site after laparoscopic right nephrectomy.
作者信息
Kawamura Yoshiaki, Uchida Takato, Umemoto Tatsuya, Nakajima Nobuyuki, Nitta Masahiro, Hasegawa Masanori, Shoji Sunao
机构信息
Department of Urology, Tokai University School of Medicine, Isehara, Kanagawa 259-1193, Japan.
出版信息
J Surg Case Rep. 2024 Apr 24;2024(4):rjae251. doi: 10.1093/jscr/rjae251. eCollection 2024 Apr.
A 5 mm port site hernia during laparoscopic surgery is rarer than a 12 mm port site hernia. Here, we report the case of a 5 mm port site hernia in an 85-year-old woman who underwent long-term steroid therapy and laparoscopic right nephrectomy. There was also a hernia at the port site where the drain was placed. Due to the 5 mm port at the drain removal site, fascial suturing was impossible after removal of the drain, and countermeasures were difficult. However, we believe that patients at a higher risk of port need suturing wound patients like this and should be carefully observed.
腹腔镜手术期间出现5mm的切口疝比12mm的切口疝更少见。在此，我们报告一例85岁长期接受类固醇治疗且接受腹腔镜右肾切除术的女性发生5mm切口疝的病例。放置引流管的切口部位也出现了疝。由于引流管拔除部位的切口为5mm，拔除引流管后无法进行筋膜缝合，应对措施困难。然而，我们认为像这样有较高切口疝风险的患者需要缝合伤口，并且应该仔细观察。
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