Félix P, Guérineau J M, Balp V, Hanin V, Brossard G
Service de Chirurgie Viscérale et Endocrinienne, Clinique Sainte-Thérèse, Villeneuve-Sur-Lot.
Ann Chir. 1998;52(10):1055-9.
The authors report a case of duodenal duplication in a adult. This lesion is rare. The clinical course is dominated by a risk of cancer. These lesions should be recognized to avoid a mutilating excision procedure in favour of a conservative procedure. The originality of this case is the laparoscopic approach which confirmed the diagnosis by the elective implantation on the first part of the duodenum. This approach, by mobilisation of the duodenum, allows excision by a very short laparotomy.
作者报告了一例成人十二指肠重复畸形病例。这种病变很罕见。临床病程主要受癌症风险影响。应识别这些病变,以避免采用致残性切除手术,而采用保守手术。该病例的独特之处在于腹腔镜手术方法,通过在十二指肠第一部进行选择性植入来确诊。这种方法通过游离十二指肠,允许通过非常短的剖腹手术进行切除。