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It has been reported that laparoscopic surgery is effective for patients with an MD. Presentation of case A 79-year-old man with melena visited our hospital. Upper gastrointestinal series and colonoscopy showed no bleeding lesion. Double-balloon endoscopy was then performed to examine the small intestine. The examination showed a large diverticulum 80 cm proximal to the ileocecal valve and a circular ulcer. MD resection was performed using single-incision laparoscopic surgery (SILS) technique through a 3-cm zig-zag incision in the umbilicus. Three ports were inserted for the scope and forceps devices. The MD was located 80 cm proximal to the ileocecal valve. There were no other intestinal lesions. From the wound, the lesion could be easily moved outside the body. The MD including the ulcer lesion was then resected. The patient\u0027s postoperative course was good, and he rarely felt wound pain. 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A case of single-incision laparoscopic surgery for a bleeding Meckel’s diverticulum diagnosed pre-operatively by double-balloon endoscopy
http://hdl.handle.net/10069/37475
http://hdl.handle.net/10069/3747519cc4f6b-0737-43a3-9e1f-6728eb752351
名前 / ファイル | ライセンス | アクション |
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IJSCR33_67.pdf (2.2 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-06-02 | |||||
タイトル | ||||||
タイトル | A case of single-incision laparoscopic surgery for a bleeding Meckel’s diverticulum diagnosed pre-operatively by double-balloon endoscopy | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Bleeding | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Case report | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Meckel's diverticulum | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Single-port laparoscopic surgery | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
Shiraishi, Toshio
× Shiraishi, Toshio× Tominaga, Tetsuro× Nonaka, Takashi× Wakata, Kouki× Kunizaki, Masaki× Tobinaga, Shuichi× Sumida, Yorihisa× Hidaka, Shigekazu× Kinoshita, Naoe× Sawai, Terumitsu× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Introduction Meckel's diverticulum (MD) is a congenital true diverticulum that is residual yolk duct tissue, and some cases with complications require surgery. It has been reported that laparoscopic surgery is effective for patients with an MD. Presentation of case A 79-year-old man with melena visited our hospital. Upper gastrointestinal series and colonoscopy showed no bleeding lesion. Double-balloon endoscopy was then performed to examine the small intestine. The examination showed a large diverticulum 80 cm proximal to the ileocecal valve and a circular ulcer. MD resection was performed using single-incision laparoscopic surgery (SILS) technique through a 3-cm zig-zag incision in the umbilicus. Three ports were inserted for the scope and forceps devices. The MD was located 80 cm proximal to the ileocecal valve. There were no other intestinal lesions. From the wound, the lesion could be easily moved outside the body. The MD including the ulcer lesion was then resected. The patient's postoperative course was good, and he rarely felt wound pain. He started dietary intake three days after surgery and was discharged from hospital eight days after surgery. Discussion SILS technique has attracted attention in the field of laparoscopic surgery. Using a single port with multiple working channels, SILS can reduce the number of incisions and the rates of incisional hernia port site-related complications, as well as improve cosmesis. Conclusion A definite diagnosis of an MD was made by double-balloon endoscopy preoperatively. The SILS approach was effective for cosmesis, postoperative pain, and a shortened hospital stay. | |||||
書誌情報 |
International Journal of Surgery Case Reports 巻 33, p. 67-70, 発行日 2017-02-22 |
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出版者 | ||||||
出版者 | Elsevier Ltd. | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 22102612 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | 10.1016/j.ijscr.2017.02.037 | |||||
権利 | ||||||
権利情報 | c 2017 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | International Journal of Surgery Case Reports, 33, pp.67-70; 2017 |