论文部分内容阅读
病例资料患者,男,72岁,主诉间断右上腹痛2年,加重半月,在外院因“肠梗阻”行剖腹探查术,术中探查见右上腹约10 cm×10 cm×10 cm大肿块,与周围粘连,无法切除,故行回肠末端与横结肠侧侧吻合术,并取横结肠系膜结节活检,病理报告示转移性腺癌。遂以“晚期胆囊癌伴横结肠转移”转入笔者所在医院治疗,入院后经必要的术前准备后拟行胆囊癌联合胰十二指肠切除及右半结肠切除术:在原回肠横结肠吻合口回肠近端与横结肠远端分别切断肠管;
Case data, male, 72 years old, complained of right upper quadrant pain for 2 years, aggravating for half a month. In the outpatient department, “laparotomy” was performed for laparotomy. During operation, we found a large mass of about 10 cm × 10 cm × 10 cm in the right upper quadrant , With the surrounding adhesions, can not be removed, so the end of the ileum and lateral colon lateral anastomosis, and to take the transverse mesenteric nodules biopsy, pathology report showed metastatic adenocarcinoma. Then to “advanced gallbladder cancer with transverse colon transfer ” transferred to the author’s hospital for treatment, after admission by the necessary preoperative preparation for gallbladder cancer combined pancreaticoduodenectomy and right half colon resection: in the original ileum transverse colon anastomosis Ileum proximal and distal transverse colon were cut off the intestine;