气腹术在腹腔镜胆囊切除术中的应用

Fadli Robby Amsriza, Rizka Fakhriani, Sagiran Sagiran
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引用次数: 0

摘要

胆囊结石迁移到胆囊管开口,可阻止胆汁在收缩时排出胆囊。由于一种特殊形式的疼痛(胆绞痛),胆囊壁张力增加。较长时间的胆囊管阻塞可引起急性胆囊炎症(急性胆囊炎)。胆囊切除术是治疗胆结石相关疾病的常用方法。我们报告一名49岁男性,有胃灼热、恶心和呕吐一个月,在最后一周恶化。在一般检查中,生命体征和尿量是预期的。临床检查,右上腹有压痛,墨菲氏征阳性。腹部超声显示多发性胆石症。患者行选择性腹腔镜胆囊切除术,辅以气腹。患者于术后第三天出院。最近的研究强调了这种不寻常的方法。在这种独特而充满挑战的情况下,Muyo Hook可能是一个选择。
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Pneumoperitoneum with Muyo Hook on Laparoscopic Cholecystectomy
Gallstone migration into the cystic duct aperture can prevent bile from exiting the gallbladder during contraction. Gallbladder wall strain increases due to a distinct form of pain (biliary colic). A more prolonged cystic duct obstruction can cause acute gallbladder inflammation (acute cholecystitis). Cholecystectomy is a popular treatment for gallstone-related illnesses. We present a 49-year-old male with heartburn, nausea, and vomiting for one month, worsening in the last week. On general examination, vital signs and urine output are expected. On clinical examination, he had tenderness on the upper right quadrant abdomen, and Murphy's sign was positive. An abdominal ultrasound (US) showed multiple cholelithiasis. The patient was performed elective laparoscopic cholecystectomy with pneumoperitoneum by Muyo hook. The patient was discharged on the third day after surgery. Recent research has highlighted this unusual method. In this unique and challenging situation, Muyo Hook may be an option.
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33
审稿时长
16 weeks
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