腹腔鏡根除性左腎切除術中的上腸繫膜動脈損傷:病例報告
張朋暉1、朱懿柏1、黃一勝1,2
新光吳火獅紀念醫院 外科部 泌尿科1
輔仁大學 醫學系2
Superior Mesenteric Artery Injury During a Laparoscopic Left Radical Nephrectomy: A Case Report and Literature Review
Peng-Hui Chang1, Yi-Bo Chu1, Thomas I.S. Hwang1,2
Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital1
School of Medicine, Fu-Jen Catholic University2
 
Abstract:
Superior mesenteric artery (SMA) injury during left nephrectomy is a rarely reported complication. Herein, we report a 68 years old male who came to our emergency room with progressive intermittent left abdominal pain for days. Lab study showed leukocytosis and elevated AST level. A computed tomography scan with contrast showed a locally invasive renal tumor up to 9 cm with clinical stage T4N0M0. Laparoscopic left radical nephrectomy was arranged later. During the procedure, inadvertent injury to the SMA was noted. Vascular surgeon was consulted and we converted to open surgery. Enterolysis and an end to side repair of SMA were done smoothly. Postoperative fasting was given for a period and diet was then given gradually. The patient recovered gradually and then discharged smoothly. The literature was reviewed and discussed.
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    台灣泌尿科醫學會
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    2020-06-12 11:58:49
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    2020-06-12 12:00:13
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