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KMID : 0914820120120010046
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Journal of the Korean Gastric Cancer Association
2012 Volume.12 No. 1 p.46 ~ p.48
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Diagnosis of a Trocar Site Mass as Omental Herniation after Laparoscopic Gastrectomy
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Jeong Sang-Ho
Lee Young-Joon
Kim Dong-Chool
Bae Kyung-Soo
Choi Sang-Kyung
Hong Soon-Chan
Jung Eun-Jung
Ju Young-Tae
Jeong Chi-Young
Ha Woo-Song
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Abstract
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A trocar site hernia is a rare complication. We report a patient who had an abdominal wall mass at a previous trocar site after laparoscopic distal gastrectomy. It was diagnosed as omental herniation and fat necrosis. We conclude that patients with trocar site masses exhibiting fat density on a computed tomography scan could be followed up without surgery, and that fascial defects located at 10-mm or larger trocar sites should be closed whenever possible to prevent hernia formation.
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KEYWORD
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Omentum, Hernia, Trocar, Gastric neoplasms, Laparoscopy
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