Combined endo-laparoscopic approach in a patient with a duodenal foreign body and bowel obstruction

被引：2
作者：
De Filippo F.R. [2 ]
Perrotta N. [1 ]
Cappiello A. [1 ]
Esposito T. [1 ]
Loffredo D. [1 ]
机构：
[1] Division of General Surgery, Ospedale Civile di Villa d'Agri, ASP Potenza, Via Provinciale
[2] Digestive Endoscopy Unit, Ospedale Civile di Villa d'Agri, ASP Potenza, Via Provinciale
来源：
Updates in Surgery | 2013年 / 65卷 / 3期
关键词：
Endo-laparoscopic rendez-vous; Endoscopy; Foreign body; Laparoscopy;
D O I：
10.1007/s13304-012-0139-2
中图分类号：
学科分类号：
摘要：
We report the successful removal of an intraduodenal foreign body (f.b.) by endo-laparoscopic rendez-vous, in a 67-year-old patient with mental disorders and duodenal occlusion by a large peach seed impacted in the duodenum. During a first endoscopic diagnostic evaluation it was possible to retract the peach seed into the stomach and have a confirmation of a stenosis of the second portion of the duodenum. Otherwise, the endoscopic procedure failed during removal out of the esophagus due to the large size of the f.b., and a second treatment in general anesthesia was planned. A 4 cm anterior gastrotomy was than performed by laparoscopy, and with a real endo-laparoscopic rendez-vous, the peach seed out of the stomach was positioned, avoiding any intra-gastric surgical manouver and directly passing from Dormia basket into laparoscopic plastic retrieval bag. The gastrotomy was than closed with a single cartridge of a linear stapler and reinforced with an oversewn suture. © 2012 Springer-Verlag.
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页码：231 / 235
页数：4
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