Journal of Medicine and Life Science

Institute for Medical Science (제주대학교 의과학연구소)
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Extracorporeal repairs of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in patients with small bowel perforations after blunt trauma

소장천공을 동반한 외상환자에서 단일공을 통한 진단적 복강경 후 최소절개를 통한 체외 소장복구: 증례 보고

  • Received : 2019.04.04
  • Accepted : 2019.04.17
  • Published : 2019.04.30
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Abstract

In a patient with blunt abdominal trauma with small bowel injury, early diagnosis is clinically challenging due to unclear clinical symptoms and signs in the early stage of an injury. On the other hand, a delay of diagnosis of bowel disruption may lead to increased complication and mortality. The diagnostic laparoscopy is very useful for the evaluation of the small bowel injury. Laparoscopy can reduce unnecessary open surgery in a patient with blunt abdominal trauma with subtle symptoms and imprecise findings on abdominal computed tomography. Also it can prevent delay of treatment and be converted immediately to open surgery as soon as bowel damage is revealed. Furthermore, extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with traumatic small bowel perforation was a feasible and safe alternative to conventional laparoscopy. We are pleased to introduce successfully treated cases by extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with small bowel perforation after blunt trauma.

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References

  1. Davis JJ, Cohn I, Jr., Nance FC. Diagnosis and management of blunt abdominal trauma. Ann Surg 1976;183:672-8. https://doi.org/10.1097/00000658-197606000-00009
  2. Lee HC, Oh HC, Cho TH, Park CK. A clinical study of abdominal trauma. J Kor Sur Soc 1987;32:208-20.
  3. Fakhry SM, Watts DD, Luchette FA. Current diagnostic approaches lack sensitivity in the diagnosis of perforated blunt small bowel injury: analysis from 275,557 trauma admissions from the EAST multi-institutional HVI trial. J Trauma 2003;54:295-306. https://doi.org/10.1097/01.TA.0000046256.80836.AA
  4. Robbs JV, Moore SW, Pillay SP. Blunt abdominal trauma with jejunal injury: a review. J Trauma 1980;20:308-11.
  5. Guarino J, Hassett JM, Jr., Luchette FA. Small bowel injuries: mechanisms, patterns, and outcome. J Trauma 1995;39:1076-80. https://doi.org/10.1097/00005373-199512000-00011
  6. Neugebauer H, Wallenboeck E, Hungerford M. Seventy cases of injuries of the small intestine caused by blunt abdominal trauma: a retrospective study from 1970 to 1994. J Trauma 1999;46:116-21. https://doi.org/10.1097/00005373-199901000-00019
  7. Fang JF, Chen RJ, Lin BC, Hsu YB, Kao JL, Kao YC, et al. Small bowel perforation: is urgent surgery necessary? J Trauma 1999;47:515-20. https://doi.org/10.1097/00005373-199909000-00014
  8. Allen GS, Moore FA, Cox CS, Jr., Wilson JT, Cohn JM, Duke JH. Hollow visceral injury and blunt trauma. J Trauma 1998;45:69-75; discussion-8. https://doi.org/10.1097/00005373-199807000-00014
  9. Fabian TC, Croce MA, Stewart RM, Pritchard FE, Minard G, Kudsk KA. A prospective analysis of diagnostic laparoscopy in trauma. Ann Surg 1993;217:557-64; discussion 64-5. https://doi.org/10.1097/00000658-199305010-00017
  10. Mitsuhide K, Junichi S, Atsushi N, Masakazu D, Shinobu H, Tomohisa E, et al. Computed tomographic scanning and selective laparoscopy in the diagnosis of blunt bowel injury: a prospective study. J Trauma 2005;58:696-701; discussion -3. https://doi.org/10.1097/01.TA.0000159242.93309.F6
  11. Chol YB, Lim KS. Therapeutic laparoscopy for abdominal trauma. Surg Endosc 2003;17:421-7. https://doi.org/10.1007/s00464-002-8808-8
  12. Khubutiya M, Yartsev PA, Guliaev AA, Levitsky VD, Tlibekova MA. Laparoscopy in blunt and penetrating abdominal trauma. Surg Laparosc Endosc Percutan Tech 23:507-12. https://doi.org/10.1097/SLE.0b013e3182937c37
  13. Simon RJ, Rabin J, Kuhls D. Impact of increased use of laparoscopy on negative laparotomy rates after penetrating trauma. J Trauma 2002;53:297-302; discussion https://doi.org/10.1097/00005373-200208000-00018
  14. Bresadola F, Pasqualucci A, Donini A, Chiarandini P, Anania G, Terrosu G, et al. Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg 1999;165:29-34. https://doi.org/10.1080/110241599750007478
  15. Pelosi MA, Pelosi MA, 3rd. Laparoscopic appendectomy using a single umbilical puncture (minilaparoscopy). J Reprod Med 1992;37:588-94.
  16. Navarra G, Pozza E, Occhionorelli S, Carcoforo P, Donini I. Onewound laparoscopic cholecystectomy. Br J Surg 1997;84:695. https://doi.org/10.1002/bjs.1800840536
  17. Bucher P, Pugin F, Morel P. Single port totally extraperitoneal laparoscopic inguinal hernia repair. Re: Single incision total extraperitoneal (one SITE) laparoscopic inguinal hernia repair using a single access port device, B. P. Jacob et al. (2009). Hernia 2009;13:667-8. https://doi.org/10.1007/s10029-009-0564-4
  18. Hirano D, Minei S, Yamaguchi K, Yoshikawa T, Hachiya T, Yoshida T, et al. Retroperitoneoscopic adrenalectomy for adrenal tumors via a single large port. J Endourol 2005;19:788-92. https://doi.org/10.1089/end.2005.19.788