Single-incision Laparoscopy-assisted Duodenojejunostomy for Superior Mesenteric Artery Syndrome—A Case Report—

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  • 単孔式腹腔鏡補助下十二指腸空腸吻合術を行った上腸間膜動脈症候群の1例
  • タンコウシキ フククウキョウ ホジョ カ ジュウニシチョウ クウチョウ フンゴウジュツ オ オコナッタ ジョウチョウカンマク ドウミャク ショウコウグン ノ 1レイ

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<p>Superior mesenteric artery (SMA) syndrome is a disease resulting from compression of the third portion of the duodenum between the abdominal aorta and the SMA, and presenting with small bowel obstruction. Conservative treatment is the first-choice treatment strategy, but if it fails, surgical treatment is selected. There are several surgical approaches for SMA syndrome and duodenojejunostomy is one of the most common. In recent years, laparoscopic surgery has been performed because it is minimally invasive, and single-incision method is acquiring increasing interest. An 86-year-old man with SMA syndrome did not respond to conservative treatment and we performed single-incision laparoscopy-assisted duodenojejunostomy. By confirming the position of the third portion of duodenum by preoperative CT and opening the abdomen at the same level, it was possible to perform flexible operation under laparoscope and the anastomosis, which is the most important stage in this procedure, under direct vision. This approach is useful because it enables us to perform more secure and stable anastomosis than the conventional laparoscopic procedures due to the direct visualization.</p>

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