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Báo cáo khoa học: "Novel deployment of a covered duodenal stent in open surgery to facilitate closure of a malignant duodenal perforation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Novel deployment of a covered duodenal stent in open surgery to facilitate closure of a malignant duodenal perforation | World Journal of Surgical Oncology BioMed Central Open Access Case report Novel deployment of a covered duodenal stent in open surgery to facilitate closure of a malignant duodenal perforation Philip F Lung Adrian B Cresswell Josephine Psaila and Ameet G Patel Address Department of Hepatobiliary Surgery King s College Hospital London UK Email Philip F Lung - philip.lung@kch.nhs.uk Adrian B Cresswell - abcresswell@doctors.org Josephine Psaila - jpsaila@aol.com Ameet G Patel - agp0@mac.com Corresponding author Published 27 October 2009 Received 17 February 2009 World Journal of Surgical Oncology 2009 7 79 doi l0.ll86 l477-78l 9-7-79 Accepted 27 October 2009 This article is available from http www.wjso.com content 7 l 79 2009 Lung et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Its a dilemma to attempt a palliative procedure to debulk the tumour and or prevent future obstructive complications in a locally advanced intra abdominal malignancy. Case presentation A 38 year old Vietnamese man presented with a carcinoma of the colon which had invaded the gallbladder and duodenum with a sealed perforation of the second part of the duodenum. Following surgical exploration it was evident that primary closure of the perforated duodenum was not possible due to the presence of unresectable residual tumour. Conclusion We describe a novel technique using a covered duodenal stent deployed at open surgery to aid closure of a malignant duodenal perforation. Background With locally advanced intra-abdominal malignancy the surgeon is faced with the dilemma of attempting a palliative procedure to debulk the tumour and or prevent future obstructive complications against limiting the impact of any surgical procedure on .