症例報告非代償性肝硬変と心不全を伴う成人交通性陰嚢水腫に対して吊り上げ式LPEC法を施行した1例

概要

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We report Laparoscopic percutaneous extraperitoneal closure（LPEC）by lifting abdominal wallis safe and feasible for an adult communicating hydrocele with decompensated cirrhosis and heartfailure. The patient was a７１-year-old man with communicating hydrocele. He has been treated forseveral years for alcoholic liver cirrhosis, diabetes and sick sinus syndrome. Preoperative laboratoryexamination showed a decrease in platelet count, liver dysfunction, hypoxemia, restrictiveimpairment and heart failure. Enhanced pelvic computed tomography scan revealed a continuouslow density area in the right inguinal region from the scrotum. Outside of the right inferior epigastricartery and vein, the abdominal cavity and scrotum were communicated. Thus, right communicatinghydrocele was diagnosed. To avoid complications due to pneumoperitoneum, LPEC withlifting abdominal wall was performed. There were no intra-and post-operative complications, andthere has been no recurrence.
徳島医学会の論文
2011-12-20