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내시경적 정복에 실패한 에스결장 염전 환자에게서 시행한 복강경 수술

Laparoscopic Management of Sigmoid Volvulus for Which Endoscopic Reduction had Failed

대한대장항문학회지 2008년 24권 5호 p.390 ~ 393
최성일 ( Choi Sung-Il ) - 경희대학교 의과대학 외과학교실

이석환 ( Lee Seok-Hwan ) - 경희대학교 의과대학 외과학교실

Abstract


The laparoscopic approach to the treatment of sigmoid volvulus has been challenging because of the different anatomy of the colon and the mesentery. We report a case of a laparoscopic sigmoidectomy and anastomosis for a patient with sigmoid volvulus for whom endoscopic reduction had failed. A 68-year-old man with sigmoid colon volvulus underwent laparoscopic surgery. The laparoscopic surgery was difficult because of the tortuous and dilated bowel and the many fibrous bands. We performed an intraoperative decompression by using a rectal tube through the anus and a primary anastomosis without on- table preparation. The patient was discharged six days later without complications. We assumed that laparoscopic resection and anastomosis is a safe, effective procedure for the management of sigmoid volvulus. J Korean Soc Coloproctol 2008;24:390-393

키워드

에스결장 염전;복강경 수술
Sigmoid volvulus;Laparoscopic surgery
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