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首页> 外文期刊>Surgical Endoscopy >Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh
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Laparoscopic splenopexy for wandering spleen, a video demonstration of technique by encircling the spleen with polyglactin 910 woven mesh

机译：腹腔镜脾脏脾脏，用于脾脏，通过将脾脏与Polyglactin 910编织网包围脾脏的技术演示

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摘要

Wandering spleen is a rare clinical entity caused by absence of the spleen's peritoneal attachments, allowing the spleen to move freely within the peritoneal cavity [1]. This disease is most commonly seen in children and young women [1, 2]. Affected individuals are predisposed to complications including splenic torsion, splenic infarction, and pancreatic necrosis [3, 4]. Patients may present with constipation, an abdominal mass, swelling, or acute abdominal pain if splenic torsion has occurred [4]. Wandering spleen is difficult to diagnose without imaging, as symptoms are non-specific or may be absent. Imaging studies to confirm the diagnosis may include computed tomography (CT) scan or duplex ultrasonography [5]. Definitive management of a wandering spleen is primarily surgical [2]. Splenectomy is the preferred treatment in patients who present with an acute splenic infarction [2, 6]. Splenopexy, however, is first line treatment for patients with a non-infarcted wandering spleen [2, 7, 8].
机译：Wandering脾脏是一种罕见的临床实体，由于脾脏的腹膜附着而导致，使脾脏在腹膜腔内自由移动[1]。这种疾病最常见于儿童和年轻女性[1,2]。受影响的个体被倾向于并发症，包括脾扭转，脾梗死和胰腺坏死[3,4]。如果发生脾扭转，患者可能存在便秘，腹部肿块，肿胀或急性腹痛[4]。在没有成像的情况下难以诊断，随着症状是非特异性的，或者可能不存在。确认诊断的成像研究可以包括计算断层扫描（CT）扫描或双工超声检查[5]。疏松脾脏的最终管理主要是外科手术[2]。脾切除术是患有急性脾梗死的患者的优选治疗[2,6]。然而，脾泛症是一种患有非梗死徘徊脾脏的患者的第一线治疗[2,7,8]。

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