胆囊管解剖变异致胆总管结石1例

Meng Tong , Yumeng Li , Xuedi Sun , Yingli Wang , Shuai Yang , Bocheng Zhang , Feiyu Jia , Lijun Peng , Jinghua Liu
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引用次数: 0

摘要

近年来,腹腔镜胆囊切除术(LC)逐渐成为治疗胆囊结石的首选。医源性胆管损伤(IBDI)是LC的重要临床问题。胆囊管的解剖变异增加了IBDI的发生概率和手术难度。我们报告一例44岁男性,因胆囊管解剖变异合并胆囊结石及胆总管结石,成功行胆总管取石术、胆总管镜探查及t管引流手术。患者恢复良好,术后第10天出院。术后1个月,经胆道造影检查无胆总管结石,取出t管。
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Choledocholithiasis caused by anatomical variation of cystic duct: A case report

Laparoscopic cholecystectomy (LC) has gradually become the first choice for the treatment of cholecystolithiasis in recent years. Iatrogenic bile duct injury (IBDI) is an important clinical problem in LC. The anatomical variation of the cystic duct increases the probability of IBDI and the difficulty of operation. We present a case of a 44-year-old male with a anatomical variation of the cystic duct complicated with cholecystolithiasis and choledocholithiasis, who successfully underwent choledocholithotomy, choledochoscopic exploration and T-tube drainage surgery. The patient recovered well and was discharged home on postoperative day 10. The T-tube was removed at 1 month postoperatively after cholangiography examination of no choledocholithiasis left.

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来源期刊
Laparoscopic Endoscopic and Robotic Surgery
Laparoscopic Endoscopic and Robotic Surgery minimally invasive surgery-
CiteScore
1.40
自引率
0.00%
发文量
32
期刊介绍: Laparoscopic, Endoscopic and Robotic Surgery aims to provide an academic exchange platform for minimally invasive surgery at an international level. We seek out and publish the excellent original articles, reviews and editorials as well as exciting new techniques to promote the academic development. Topics of interests include, but are not limited to: ▪ Minimally invasive clinical research mainly in General Surgery, Thoracic Surgery, Urology, Neurosurgery, Gynecology & Obstetrics, Gastroenterology, Orthopedics, Colorectal Surgery, Otolaryngology, etc.; ▪ Basic research in minimally invasive surgery; ▪ Research of techniques and equipments in minimally invasive surgery, and application of laparoscopy, endoscopy, robot and medical imaging; ▪ Development of medical education in minimally invasive surgery.
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