Uenishi T, Hirohashi K, Tanaka H, Fujio N, Kubo S, Kinoshita H
Second Department of Surgery, Osaka City University Medical School, Japan.
Hepatogastroenterology. 1999 Jul-Aug;46(28):2296-8.
A patient is reported who required a right hepatic lobectomy for recurrent cholangitis due to injury of the major bile ducts and the right hepatic artery during laparoscopic cholecystectomy. A 39 year-old woman with acute cholecystitis underwent laparoscopic cholecystectomy. A laparotomy was performed due to a bile duct injury at the hepatic bifurcation. After surgery, she suffered from recurrent cholangitis due to inadequate biliary reconstruction. A right hepatic lobectomy and reconstruction of the left hepatic duct was required because of right hepatic lobe atrophy and recurrent cholangitis. After the 2nd operation, she was active and exhibited no evidence of recurrence at 22 months.
报告了一名患者，该患者因腹腔镜胆囊切除术期间主要胆管和右肝动脉损伤导致复发性胆管炎，需要进行右肝叶切除术。一名39岁患有急性胆囊炎的女性接受了腹腔镜胆囊切除术。由于肝门处胆管损伤，进行了剖腹手术。术后，由于胆道重建不充分，她患上了复发性胆管炎。由于右肝叶萎缩和复发性胆管炎，需要进行右肝叶切除术和左肝管重建。第二次手术后，她恢复良好，在22个月时未出现复发迹象。
