Abstract

Commentary: 3D Laparoscopy-Assisted Operation to Adult Intussusceptions During Perioperative Period of Liver Transplantation: Case Report and Literature Review.

Highlights

  • Frontiers in SurgeryInitial CT scans showed proximal enterostenosis, but symptoms of constipation gradually became more severe

  • In the case report by Gao et al [1], a 32-year-old male presented with pain and distention in the lower left quadrant following a liver transplant for liver failure and cirrhosis

  • Initial CT scans showed proximal enterostenosis, but symptoms of constipation gradually became more severe. Another CT scan was completed 4 days later, and an exploratory laparoscopy was performed, indicating antegrade intussusception, where the proximal bowel invaginated itself into the distal bowel

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Summary

Frontiers in Surgery

Initial CT scans showed proximal enterostenosis, but symptoms of constipation gradually became more severe Another CT scan was completed 4 days later, and an exploratory laparoscopy was performed, indicating antegrade intussusception, where the proximal bowel invaginated itself into the distal bowel. Laparoscopy is becoming a more favorable method for surgical treatment of intussusception and causes less tissue damage and immune responses compared to an open laparotomy [2]. Surgical options, including laparotomy or laparoscopy, remains the main treatment plan for adult intussusception, the specifics of the interventions vary. There are non-invasive and non-surgical treatments for intussusceptions, including hydrostatic, pneumatic, and gas enemas under ultrasound or fluoroscopy. Hydrostatic reductions have similar safety and efficacy compared to pneumatic reduction, and ultrasound guided intussusception reduction should continue to be evaluated, as it does not require radiation exposure [7].

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