Chekan E G, Westcott C, Low V H, Ludwig K A
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Surg Laparosc Endosc. 1998 Aug;8(4):324-6.
Adult intussusception is rare and is usually caused by a tumor serving as a lead point. Surgery is necessary to treat obstruction and rule out malignancy. However, if a benign cause (lipoma, fibroma, or Meckel's diverticulum) is suspected preoperatively, a minimally invasive surgical approach should be considered. This case illustrates the laparoscopic management of benign small bowel intussusception due to lipoma.
成人肠套叠较为罕见,通常由肿瘤作为起始点引起。手术对于治疗肠梗阻和排除恶性肿瘤是必要的。然而,如果术前怀疑是良性病因(脂肪瘤、纤维瘤或梅克尔憩室),则应考虑采用微创手术方法。本病例说明了因脂肪瘤导致的良性小肠肠套叠的腹腔镜治疗。