Pruett B
South Central Regional Medical Center, Laurel, MS.
J Miss State Med Assoc. 1993 Mar;34(3):73-5.
Laparoscopic assisted sigmoidectomy was the technique of choice for a mentally retarded adult male with severe seizure disorder and recurrent sigmoid volvulus in an effort to reduce post-op stress and discomfort and thereby diminish the possibility of exacerbation of his seizures. The technique was performed using standard laparoscopic technique and a 5cm incision in the left abdomen to perform extracorporeal bowel anastomosis. The surgery was successful and the patient experienced minimal post op discomfort, no complications and had no seizures. This newest addition to the portfolio of laparoscopic surgical techniques may be a useful tool in high risk or elderly patients who are poor candidates for conventional bowel surgery.
对于一名患有严重癫痫障碍且乙状结肠反复扭转的成年智障男性,腹腔镜辅助乙状结肠切除术是首选技术,旨在减轻术后压力和不适,从而降低癫痫发作加剧的可能性。该技术采用标准腹腔镜技术,并在左下腹做一个5厘米的切口进行体外肠吻合术。手术成功,患者术后不适轻微,无并发症,也未发生癫痫发作。腹腔镜手术技术组合中的这一最新方法,对于那些不适合传统肠道手术的高危或老年患者可能是一种有用的工具。