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病例 男性,44岁,97年5月行回盲部结肠癌切除、回肠造瘘术,3个月后行造瘘口还纳术。98年4月出现右下腹肿物,约10cm×8cm,质硬,固定,表面欠光滑,界线尚清,无肌紧张。B超提示:右下腹囊性实质肿瘤。术前诊断:结肠癌腹壁种植转移。于98年7月手术,右下腹旁正中切口,术中见肿块位于原造瘘口腹膜处,与腹壁肌肉、脂肪及回肠末端粘连成一体,下达右髂骨,上平脐,内侧距切口边缘约3cm,连同肿块和部分结肠肝曲、末端回肠、肿块及受侵腹膜、全层腹壁肌肉及皮下脂肪一并切除,形成一约12cm×14cm的腹壁缺损区。用一比缺损区
Cases Male, 44 years old, in May of 1997, underwent ileocecal resection and ileostomy for ileocecal resection. Three months later, he underwent fistula replacement. In April 1998, there was a tumor of the right lower abdomen, about 10cm × 8cm, hard, fixed, the surface is less smooth, the boundary is still clear, no muscle tension. B-ultrasound: cystic solid tumor in the right lower quadrant. Preoperative diagnosis: abdominal colon cancer metastasis. In July 1998, the operation was performed with a midline incision in the right lower abdomen. During the operation, the masses were located at the peritoneum of the original fistula, and they adhered to the abdominal muscles, fat, and the end of the ileum. The right tibia was delivered, the upper flat umbilicus, and the medial margin from the incision. About 3cm, together with the masses and some of the colonic hepatic flexures, terminal ileum, masses and invaded peritoneum, full abdominal muscles and subcutaneous fat were removed together to form a 12cm x 14cm abdominal wall defect area. Using a defect area