查詢結果分析
來源資料
相關文獻
- Laparoscopic Repair of a Sigmoid Perforation Occurring After Colonoscopic Polypectomy--A Case Report
- Laparoscopic Repair of Colonoscopic Perforation: Report of Three Cases
- Antegrade Ureterorenoscopic Manipulation of Upper Ureteral Stones
- 雄犬腹腔鏡電燒結紮避孕之探討
- 泌尿科後腹腔鏡手術之現況與展望
- Technique Modifications in Retroperitoneoscopic Ureterolithotomy for Impacted Upper Ureteral Stones
- 婦產科腹腔鏡手術的發展及現況
- 腹腔鏡薦骨前神經切除術對慢性骨盆腔疼痛之療效
- Heller Laparoscopic Esophagomyotomy with Anterior Fundoplication in the Treatment of Achalasia: A Case Report
- 減少腹腔鏡治療癌症病患後穿刺孔復發的方法
頁籤選單縮合
題名 | Laparoscopic Repair of a Sigmoid Perforation Occurring After Colonoscopic Polypectomy--A Case Report=大腸鏡息肉切除術後大腸穿孔以腹腔鏡修補--病例報告 |
---|---|
作者 | 莊永芳; 柯成國; 歐朝士; 阮仲州; Chuang, Yung-fang; Ker, Chen-guo; Ou, Chau-su; Juan, Chung-chou; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19990900、19991000 |
卷期 | 32:5 民88.09-10 |
頁次 | 頁229-232 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 大腸鏡息肉切除術; 大腸穿孔; 腹腔鏡; Colon perforation; Colonoscopic polypectomy; Laparoscopy; |
中文摘要 | 大腸鏡已被廣泛應用於診斷及治療各種大腸疾病。檢查時,最常見的合併症為大腸穿孔,這種穿孔的比率極少約佔診斷性大腸鏡術的0.1至0.8%,佔治療性大腸鏡術的0.15至3%。最近主張一些微小的穿孔且有良好的大腸清腸準備者可以探取保守治療,讓病人禁食,給予靜脈輸液及抗生素,及緊密的臨床評估。但保守療法仍附帶一些合併症及死亡率。當懷疑有大的穿孔,有廣泛性腹膜炎,有病理病變及觀察治療中病人生理狀況惡化等須儘行手術治療。最近腹腔鏡被廣泛應用於治療各種腹內疾病,術後病人疼痛減少,恢復較快及較少併發症及死亡率,特別是老年者。 一位71歲病人因大腸息肉接受大腸鏡息肉切除術,術受病人有局部腹痛、腹脹、及腹部按壓痛,起先病人接受保守療法一天,但病人腹膜炎症狀加劇,於是決定採用腹腔鏡大腸穿孔修補術。術後病人恢復快且良好,第二天排氣後給予流質飲食,病人於第四天痊癒後出院。腹腔鏡大腸穿孔修補術是一個安全,有效且侵襲性極小的手術方法。 |
英文摘要 | Colonic perforation is a well-recognized, although rare, complication of colonoscopic procedures. The management of this iatrogenic injury remains controversial. Recently a few favorable perforations were managed by nonoperative management. In the case of an unfavorable condition or having no response to conservative treatment, operative approach must be considered. The case of a 71-year-old man who sustained a sigmoid colon perforation after colonoscopic polypectomy and was successfully treated by laparoscopic repair is described. Laparoscopy was performed 24 hours after polypectomy. The colonic wound was sutured with 3-0 mersilk separated stitches. He recovered rapidly and uneventfully. Laparoscopic surgery offers a safe, definitive, and minimally invasive technique for iatrogenic colonic perforation after colonoscopy. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。