腹腔镜下成功取出摄入的叉子

Z. Demetrashvili, D. Loladze, Ketevan Vibliani, Tamar Metreveli
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引用次数: 0

摘要

大多数被摄入的异物(FBs)通过胃肠道没有任何问题,尽管它们的通过取决于形状和大小。当FB较大时,大多数情况下可采用内镜切除(成功率为95%),但有时需要手术。我们提出了一个27岁的癫痫妇女谁吞了一个叉子自杀企图的病例报告。腹部平片证实胃有FB(叉形),未见气腹。客观检查,腹部柔软无压痛,腹膜无刺激。在内镜切除失败后,进行了腹腔镜干预。手术在全麻下使用开放腹腔镜(Hasson技术)进行。结果,叉子被成功取出,没有进一步的并发症。72小时后,患者出院,无任何并发症。术后4周随访,患者完全康复。
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Successful laparoscopic removal of ingested fork
Most ingested foreign bodies (FBs) pass through the gastrointestinal tract without any problems, although their passage depends on shape and size. When a FB is relatively large, endoscopic removal may be utilized in most cases (the success rate was 95%), but sometimes surgery is required. We present a case report of a 27-year-old woman with epilepsy who had swallowed a fork in a suicide attempt. A plain abdominal radiograph confirmed a FB (fork) in the stomach with no visible pneumoperitoneum. On objective examination, the abdomen was soft and nontender with no peritoneal irritation. After a failed attempt at endoscopic removal, the laparoscopic intervention was undertaken. The operation was performed under general anesthesia utilizing open laparoscopy (Hasson's technique). As a result, the fork was successfully removed without further complications. After 72 h, she was discharged from the hospital without any complications. The patient was followed up after 4 weeks and made a full recovery.
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