JOURNAL OF JAPAN SOCIETY FOR ENDOSCOPIC SURGERY Volume 24, Issue 5 (September 2019)
Japanese

A case of internal hernia with a hernial orifice in the supracolic component of Petersen's defect after laparoscopic total gastrectomy with Roux-en-Y reconstruction Kentaro TATSUMI 1 , Naoya SASAKI 1 , Satoshi KANTO 1 , Morito SAKIKUBO 1 , Seiichi YASUDA 1 , Atsushi KAWABE 1 1Department of Gastroenterological Surgery, Hikone Municipal Hospital Keyword: 腹腔鏡下胃切除 , 内ヘルニア , Roux-en-Y pp.391-396
Published Date 2019/9/15
DOI https://doi.org/10.11477/mf.4426200732
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 This paper reports a case of complication of postoperative internal hernia after laparoscopic total gastrectomy with Roux-en-Y reconstruction for gastric cancer. The internal hernia developed despite closure of the mesenteric gap with a non-absorbable suture. The patient was a 71-year-old man. Two months prior, he underwent laparoscopic total gastrectomy with Roux-en-Y reconstruction. In a detailed examination for abdominal pain, an internal hernia was found in the transverse colon, so an emergency surgery was performed. The hernial orifice was located on the dorsal side of the lifted jejunum and on the cranial side of the transverse colon. The incarcerated intestinal tract was repaired laparoscopically, and the hernial orifice was sutured and closed. In recent years, as hernia gaps in common sites are closed with non-absorbable sutures, the number of cases of postoperative hernia after gastric cancer surgery is declining. However, rare cases of hernia of this kind may still be observed. If postoperative abdominal pain is observed after laparoscopic gastrectomy, internal hernia should be considered regardless of whether the mesenteric gap was closed or not.


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基本情報

13446703.24.5.jpg
日本内視鏡外科学会雑誌
24巻5号 (2019年9月)
電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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