頁籤選單縮合
題 名 | Surgery for Progressive Long-Segmented Stricture in Pedicle-Grafted Colon Bypass--A Case Report=大腸轉移重建食道術後漸進狹窄之研究 |
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作 者 | 湯月碧; 李元麒; 李章銘; | 書刊名 | 中華民國外科醫學會雜誌 |
卷 期 | 30:6 民86.11-12 |
頁 次 | 頁424-428 |
分類號 | 416.241 |
關鍵詞 | Sternal compression; Progressive stricture; Reconstruction; Free radial forearm flap; |
語 文 | 英文(English) |
中文摘要 | 本病例報告一位55歲男性病人因胃與食道平滑肌瘤,接受食道切除手術併使用大腸轉移重建食道後,於沒有接合處滲漏的情況下轉移之大腸段逐漸發生狹窄,病人無法進食。食道攝影發現有10公分長的狹窄段,詳細考察發現,病人的胸骨柄特別肥厚。可能因此而壓迫轉移之大腸。手術時發現食道大腸吻合處通暢,而胸骨柄下之大腸轉移則開始狹窄,長度約10公分。解決之法為切除部分肥厚之胸骨柄並擷取一前臂橈動脈游離皮瓣,設計再縫合成一十公分長之管狀皮瓣,於食道狹窄段之上下端,作端側吻合,以繞道狹窄之食道,病人於手術後完全能自由由口進食。 |
英文摘要 | Progressive segmental stricture of the interposed colon for repair of esophageal deficiency after resection of esophageal leiomyoma in this 55 years old male patient was regarded as compression by hypertrophy of the sternal manubrium. The 10 cm long strictured intrathoracic colon segment was successfully reconstructed with a skin tube made with a free forearm flap. The reconstruction was accomplished by virtue of anastomosis of radial artery and cephalic vein to inferior thyroid artery and external jugular vein, radial vein to inferior thyroid vein. The patient assumed a smooth post-operative course and resumed oral intake in one month. |
本系統中英文摘要資訊取自各篇刊載內容。