影片分享: 縮胃手術後延遲性洩漏, 使用腹腔鏡進行膿瘍引流, 廔管小腸吻合術以及小腸餵食造廔
47 y/o male
Morbid obesity (BW:101.6Kg,BMI:37.8 ) accompanied with
Hypertension , Dyslipidemia , Type 2 DM (A1C 8.1) , Gout
status post laparoscopic sleeve gastrectomy (LSG) along with Serosa reinforcement, Omentum Fixation and Crux Reinforcement
High fever at POD 39, Leakage was proved by UGI series with water-soluable contrast.
Rescue surgery accompanied with Laparoscopic abscess drainage, Laparoscopic Fistulo-jejunostomy and Laparoscopic Feeding jejunostomy was done on POD 43. OP time 6 hrs, Blood loss 250ml.
Patient was uneventful recovery and was discharged 9 days after rescue surgery. POD 91 (48 days after rescue surgery), all drainage was removed and the fistula was healed on UGI series.
