Laparoscopic-assisted rectal foreign body removal: Report of a case
Laparoscopic-assisted rectal foreign body removal: Report of a case
复制标题
DOI：
10.1007/s10350-005-0117-6
复制
发表时间：
2005-10-01
影响因子：
3.9
通讯作者：
Franklin, ME
中科院分区：
文献类型：
--
作者：
Berghoff, KR;Franklin, ME
直肠异物在急诊科并不少见。通常可以通过经肛门途径在该部门取出它们。然而，这通常不能被患者很好地耐受，或者可能迫使异物更近端。我们报告一位肥胖病人，在腹腔镜协助下，成功地经肛门取出一个困难的直肠异物。方法：在全身麻醉下，患者处于头低脚高位，使用腹腔镜从上方推动直肠异物，同时从下方经肛门取出异物。这是通过一个10 mm和两个5 mm切口进行的。研究结果：在腹腔镜辅助下经肛门成功取出异物，患者在术后12小时内出院。结论：腹腔镜辅助直肠异物取出术是治疗困难病例的一种较好的方法。它可以方便地去除，检测直肠损伤，并提前出院。
Rectal foreign bodies are not an uncommon presentation to the emergency department. Frequently they can be removed in the department through the transanal approach. However, this often is not well tolerated by the patient or can force the foreign body more proximal. We present a case of a difficult rectal foreign body in an obese patient that was successfully removed transanally in the operating room with laparoscopic assistance. METHODS: Under general anesthesia, with the patient in Trendelenburg position, laparoscopy was used to push the rectal foreign body from above while it was removed transanally from below. This was performed with one 10-mm and two 5-mm incisions. RESULTS: The foreign body was successfully removed transanally with laparoscopic assistance, and the patient was discharged within 12 hours from the operation. CONCLUSIONS: The laparoscopic approach to assist in rectal foreign body removal is a good treatment choice for difficult cases. It allows for easy removal, detection of rectal injury, and early discharge.