Kamal N G, Cox C
Department of Obstetrics and Gynaecology, New Cross Hospital, Wolverhampton, UK.
Surg Endosc. 2000 Jun;14(6):593. doi: 10.1007/s004640000119. Epub 2000 May 8.
Laparoscopic cholecystectomy, although a safe technique for removal of the gallbladder, is associated with surgery-related complications. We report a complication caused by this procedure in a young woman, in whom a diagnostic laparoscopy led to the incidental finding of retained gallstones in the pelvis. A 30-year-old woman underwent diagnostic laparoscopy for exclusion of an ectopic pregnancy. She had undergone laparoscopic cholecystectomy 3 years before presentation. Diagnostic laparoscopy ruled out ectopic pregnancy, but yellow nodules were noted in her pelvis. Removal of these nodules was not attempted because of their close proximity to the ureter. A biopsy of these lesions confirmed amorphous material suggestive of gall stones. The finding was documented in the case notes and explained to the patient after the procedure.
腹腔镜胆囊切除术虽然是一种安全的胆囊切除技术，但仍与手术相关并发症有关。我们报告了一名年轻女性因该手术引发的并发症，在其诊断性腹腔镜检查中偶然发现盆腔内有残留胆结石。一名30岁女性因排除异位妊娠接受诊断性腹腔镜检查。她在就诊前3年接受了腹腔镜胆囊切除术。诊断性腹腔镜检查排除了异位妊娠，但在其盆腔内发现了黄色结节。由于这些结节靠近输尿管，未尝试切除。对这些病变进行活检证实为提示胆结石的无定形物质。这一发现记录在病例记录中，并在手术后向患者进行了解释。
