PDF(Pubmed)
Abstract：
Reconfiguration of the alimentary tract with the Roux-en-Y has been utilized in a wide variety of contexts since its first description by Swiss physician César Roux. We present a novel and unique application of the Roux-en-Y whereby a chronically discharging cutaneous fistula originating at a retroperitoneal mature teratoma within the root of the mesentery was diverted enterically via a cystojejunostomy and the fistula tract excised, providing a resolution of symptoms. The location of the tumour in the root of the mesentery and the involvement of major mesenteric vessels made a radical resection of the tumour technically impossible but due to the distressing symptoms caused by the fistula made diversion of the fistula an excellent treatment option.
摘要：
自从瑞士医生CésarRoux首次描述以来，用Roux-en-Y对消化道的重新配置已在各种情况下使用。我们提出了Roux-en-Y的一种新颖而独特的应用，通过膀胱空肠造口术和切除瘘管，慢性排出的皮肤瘘起源于肠系膜根部的腹膜后成熟畸胎瘤。提供症状的解决方案。肿瘤在肠系膜根部的位置以及主要肠系膜血管的受累，在技术上不可能对肿瘤进行根治性切除，但由于瘘管引起的痛苦症状，因此瘘管的转移是一种很好的治疗选择。
