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腹腔镜袖状胃切除术中偶然发现的镰状韧带大缺损

An Incidental Discovery of a Large Falciform Ligament Defect During Laparoscopic Sleeve Gastrectomy.

作者信息

Eldurssi Omar, Albaqshi Ali, Attia Ahmed

机构信息

Surgery, University of Benghazi Faculty of Medicine, Benghazi, LBY.

Surgery, London Hospital Kuwait, Kuwait, KWT.

出版信息

Cureus. 2024 Sep 8;16(9):e68930. doi: 10.7759/cureus.68930. eCollection 2024 Sep.

DOI:10.7759/cureus.68930
PMID:39385906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11463821/
Abstract

The falciform ligament is a thin fold of peritoneum that attaches the liver to the anterior abdominal wall and the diaphragm. Its defect refers to an abnormal opening in the falciform ligament, a very rare condition that can be congenital or due to acquired causes. In this report, we present a case of a 42-year-old patient with a large asymptomatic falciform ligament defect incidentally discovered during laparoscopic sleeve gastrectomy. Due to the potential risk of small bowel herniation through the defect, we recommend cutting the remaining ligament to avoid this unwanted complication, as we did here.

摘要

镰状韧带是一层薄的腹膜皱襞,它将肝脏与前腹壁和膈肌相连。其缺损是指镰状韧带出现异常开口,这是一种非常罕见的情况,可为先天性或后天性原因所致。在本报告中,我们介绍了一例42岁患者,在腹腔镜袖状胃切除术期间偶然发现有一个巨大的无症状镰状韧带缺损。由于存在小肠通过该缺损发生疝出的潜在风险,我们建议像在此处所做的那样,切断剩余的韧带以避免这种不良并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94fb/11463821/8ad2ca8db484/cureus-0016-00000068930-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94fb/11463821/8ad2ca8db484/cureus-0016-00000068930-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94fb/11463821/8ad2ca8db484/cureus-0016-00000068930-i01.jpg

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本文引用的文献

1
Absence of Falciform Ligament Found During Laparoscopic Surgery: A Case Report.腹腔镜手术中发现镰状韧带缺如:一例报告
Cureus. 2024 Apr 2;16(4):e57459. doi: 10.7759/cureus.57459. eCollection 2024 Apr.
2
Utility of Falciform Ligament in Abdominal Surgery: A Systematic Review.镰状韧带在腹部外科中的应用:系统评价。
Am Surg. 2023 Jun;89(6):2705-2712. doi: 10.1177/00031348221142577. Epub 2022 Nov 29.
3
Internal hernia through hepatic falciform ligament iatrogenic defect in a neonate: A case report and review of the literature.
新生儿经肝镰状韧带医源性缺损的内疝:一例病例报告及文献复习
Afr J Paediatr Surg. 2021 Apr-Jun;18(2):114-116. doi: 10.4103/ajps.AJPS_14_20.
4
Applications of hepatic round ligament/falciform ligament flap and graft in abdominal surgery-a review of their utility and efficacy.肝圆韧带/镰状韧带瓣和移植物在腹部外科中的应用——对其效用和疗效的综述。
Langenbecks Arch Surg. 2021 Aug;406(5):1249-1281. doi: 10.1007/s00423-020-02031-6. Epub 2021 Jan 7.
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Problems of artificial neural network.人工神经网络的问题。
J Surg Res. 2018 Feb;222:225. doi: 10.1016/j.jss.2017.07.017. Epub 2017 Aug 12.
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Internal hernias through the falciform ligament: a case series and comprehensive literature review of an increasingly common pathology.通过镰状韧带的内部疝:一种越来越常见的病理的病例系列和全面文献复习。
Hernia. 2013 Feb;17(1):95-100. doi: 10.1007/s10029-012-0990-6. Epub 2012 Oct 6.
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Laparoscopic observations of congenital anomalies of the liver.肝脏先天性异常的腹腔镜观察
Gastrointest Endosc. 1998 Feb;47(2):136-40. doi: 10.1016/s0016-5107(98)70345-1.