Port site herniation of the small bowel following laparoscopy-assisted distal gastrectomy: a case report.
Port site herniation of the small bowel following laparoscopy-assisted distal gastrectomy: a case report.
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DOI：
10.1186/1752-1947-2-48
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发表时间：
2008-02-14
影响因子：
1
通讯作者：
Naito, Kazuyo
中科院分区：
文献类型：
--
作者：
Itoh, Tsuyoshi;Fuji, Nobuaki;Naito, Kazuyo
引言：输液港部位疝是腹腔镜手术后一种罕见但潜在危险的并发症。关闭港口网站，特别是那些测量10毫米或以上，已被建议，以避免这样的events.CASE介绍：我们在此报告的唯一情况下，港口网站疝之间的一系列52例腹腔镜辅助远端胃切除术（LADG）进行了我们的单位在2002年7月至2007年3月。在这种情况下，小肠疝和嵌顿通过港口网站后4天LADG尽管筋膜关闭。患者在术后第三天出现可能由于梗阻引起的初始表现，包括轻度腹痛和恶心。第4天根据与十二指肠残端渗漏相关的症状做出明确诊断，认为这是在严重肠梗阻后发生的。再次手术减少的嵌顿肠和管十二指肠造口腹膜引流需要管理这个complication.CONCLUSION：我们提出这种情况下的报告和文献回顾，进一步讨论腹腔镜手术后筋膜关闭的方法。
INTRODUCTION: Port-site herniation is a rare but potentially dangerous complication after laparoscopic surgery. Closure of port sites, especially those measuring 10 mm or more, has been recommended to avoid such an event.CASE PRESENTATION: We herein report the only case of a port site hernia among a series 52 consecutive cases of laparoscopy-assisted distal gastrectomy (LADG) carried out by our unit between July 2002 and March 2007. In this case the small bowel herniated and incarcerated through the port site on day 4 after LADG despite closure of the fascia. Initial manifestations experienced by the patient, possibly due to obstruction, and including mild abdominal pain and nausea, occurred on the third day postoperatively. The definitive diagnosis was made on day 4 based on symptoms related to leakage from the duodenal stump, which was considered to have developed after severe obstruction of the bowel. Re-operation for reduction of the incarcerated bowel and tube duodenostomy with peritoneal drainage were required to manage this complication.CONCLUSION: We present this case report and review of literature to discuss further regarding methods of fascial closure after laparoscopic surgery.