Wittenberg Rachel E, Scott Benjamin B, Recco Dominic P, Digesu Christopher S, Kent Michael S
Harvard Medical School, Boston, Massachusetts.
Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Ann Thorac Surg Short Rep. 2023 Apr 1;1(3):505-508. doi: 10.1016/j.atssr.2023.03.013. eCollection 2023 Sep.
We report the rare case of a 71-year-old man with a medical history including dysphagia, gastroesophageal reflux disease, and achalasia with remote open transthoracic Heller myotomy who presented acutely with symptoms of esophageal obstruction. Sustained gastroesophageal intussusception was diagnosed with esophagogastroduodenoscopy and computed tomography. The patient underwent urgent robot-assisted laparoscopic reduction with gastropexy. Intraoperatively, the gastric and esophageal tissue appeared inflamed without evidence of necrosis or perforation. The patient recovered well without complications. This report describes a case of successful surgical treatment of gastroesophageal intussusception by a robotic approach.
我们报告了一例罕见病例,患者为一名71岁男性,有吞咽困难、胃食管反流病和贲门失弛缓症病史,曾接受过开胸Heller肌切开术,此次因食管梗阻症状急性就诊。经食管胃十二指肠镜检查和计算机断层扫描诊断为持续性胃食管套叠。患者接受了紧急机器人辅助腹腔镜复位及胃固定术。术中,胃和食管组织有炎症表现,但无坏死或穿孔迹象。患者恢复良好,未出现并发症。本报告描述了一例通过机器人手术成功治疗胃食管套叠的病例。