Noninvasive local correction of loop ileostomy prolapse using a stapling device for a patient in the terminal phase of malignancy.
Noninvasive local correction of loop ileostomy prolapse using a stapling device for a patient in the terminal phase of malignancy.
复制标题
使用吻合器对恶性肿瘤末期患者进行无创局部矫正袢回肠造口术脱垂。
DOI：
10.1093/jscr/rjz050
复制
发表时间：
2019
影响因子：
0.5
通讯作者：
Mizukoshi K.
中科院分区：
文献类型：
--
作者：
Kojima Y;Sakamoto K;Kawai M;Mizukoshi K.
1例，因卵巢癌手术，无法切除直接在回肠末端浸润术，行末端回肠口侧回肠造口姑息性手术。术后17个月左右出现回肠吻合口脱垂，19个月后出现肠道血液循环障碍，脱垂复位困难。由于患者的全身状况不佳，没有实施麻醉，在进行轻度镇静的同时，使用吻合器进行了回肠造口重建。术中患者昏迷，手术时间29分钟，一般情况未见异常。在这篇文章中，我们报告了一例晚期恶性肿瘤患者使用吻合器非侵入性局部矫正回肠吻合口脱垂。
A 64-year-old woman who underwent surgery for ovarian cancer, but were unable to be resected and were directly infiltrated at the terminal ileum, and the ileostomy in the oral side of the terminal ileum was performed as a palliative operation. Prolapse of the ileostomy appeared approximately 17 months after the operation, and after 19 months, the blood circulation disorder of the intestinal tract and the reduction of prolapse became difficult. Since the patient’s systemic condition was poor, anesthesia was not enforced, and an ileostomy reconstruction was performed using a stapling device while performing mild sedation. During the operation, the patient was unconscious, and the operation time was 29 minutes, and the general condition was not abnormal. In this paper, we report noninvasive local correction of loop ileostomy prolapse using a stapling device for a patient in the terminal phase of malignancy.