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中华疝和腹壁外科杂志(电子版) ›› 2024, Vol. 18 ›› Issue (06) : 717 -720. doi: 10.3877/cma.j.issn.1674-392X.2024.06.023

所属专题: 经典病例

病例报告

成人先天性巨大左侧膈疝合并胃癌一例
武亚东1, 牛磊1, 刘烺飚1, 蔡军1,()   
  1. 1.100050 首都医科大学附属北京友谊医院普外科
  • 收稿日期:2024-04-29 出版日期:2024-12-18
  • 通信作者: 蔡军
  • 基金资助:
    国家自然科学基金资助(82300646)北京市自然科学基金资助(7232334)北京市属医院科研培育项目(PX20240103、PX2020001)首都卫生发展科研专项项目(2024-2-2028)北京市科委AI+健康协同创新培育项目(Z241100007724004)北京市卫健委研究型病房卓越临床研究计划(BRWEP2024W162020100、BRWEP2024W162020112)首都医学科技创新成果转化优促计划(YC202401QX0824)

Adult congenital giant left diaphragmatic hernia complicated with gastric cancer: a case report

Yadong Wu, Lei Niu, Langbiao Liu, Jun Cai()   

  • Received:2024-04-29 Published:2024-12-18
  • Corresponding author: Jun Cai
引用本文:

武亚东, 牛磊, 刘烺飚, 蔡军. 成人先天性巨大左侧膈疝合并胃癌一例[J/OL]. 中华疝和腹壁外科杂志(电子版), 2024, 18(06): 717-720.

Yadong Wu, Lei Niu, Langbiao Liu, Jun Cai. Adult congenital giant left diaphragmatic hernia complicated with gastric cancer: a case report[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 717-720.

图1 先天性巨大左侧膈疝合并胃癌患者术前CT 检查所见 注:1A 立位片见左侧膈上抬,左肺体积明显缩小;1B 纵隔窗见部分胃及肠管疝入左侧胸腔;1C 肺窗见左肺体积明显缩小。
图2 先天性巨大左侧膈疝合并胃癌患者胃镜下肿瘤部位(黑色箭头指向处)
图3 先天性巨大左侧膈疝合并胃癌患者全腹腔镜根治性远端胃大部切除术(D2,非离断Roux-en-Y 吻合)+左膈肌缺损无张力修补术中见膈疝缺损处(夹子处为分离粘连止血处)
图4 先天性巨大左侧膈疝合并胃癌患者全腹腔镜根治性远端胃大部切除术(D2,非离断Roux-en-Y 吻合)+左膈肌缺损无张力修补术中探查肿瘤位置(黄色箭头标志处)
图5 先天性巨大左侧膈疝合并胃癌患者膈肌缺损修补后(倒刺线连续缝合关闭疝环口及生物补片加固后四个边缘)
图6 先天性巨大左侧膈疝合并胃癌患者全腹腔镜根治性远端胃大部切除术(D2,非离断Roux-en-Y 吻合)+左膈肌缺损无张力修补术后胸部正位X 线片 注:6A 术后当天;6B 术后10 d;6C 术后3 个月。
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