Onghena T, De Waele J J, Vereecken L, Van Loon C
Department of Surgery, St.-Lucas Hospital-Campus St Vincentius, Ghent, Belgium.
Acta Chir Belg. 2001 Jan-Feb;101(1):31-4.
To determine incidence of 'limy bile' in patients undergoing laparoscopic cholecystectomy; to analyze patient characteristics and preoperative imaging modalities in these patients and evaluate surgical treatment.
A retrospective analysis of 1800 laparoscopic cholecystectomies performed between March 1990 and March 1998 for symptomatic gallbladder disease.
Five patients with limy bile (0.27%) were identified. Four were female and one was male, age varied from 42 to 66. Most patients were symptomatic longtime before presentation. Ultrasound was not able to differentiate between normal gallstones or sludge. In three patients the diagnosis was made before operation, in one patient it was an incidental finding. Surgery in these patients is not more difficult than in any other patient.
Limy bile is a rare finding (0.27% in 1800 cholecystectomies). Plain abdominal X-rays mostly suggest the presence of calcium carbonate precipitate in the gallbladder, but ultrasound cannot differentiate between cholelithiasis and limy bile. Laparoscopic resection can be performed without problems in most patients. Preoperative diagnosis of this rare entity is not essential, as it does not alter treatment.
确定接受腹腔镜胆囊切除术患者中“石灰样胆汁”的发生率；分析这些患者的特征和术前影像学检查方式，并评估手术治疗情况。
对1990年3月至1998年3月间因有症状胆囊疾病而进行的1800例腹腔镜胆囊切除术进行回顾性分析。
发现5例石灰样胆汁患者（0.27%）。4例为女性，1例为男性，年龄在42至66岁之间。大多数患者在就诊前有长期症状。超声无法区分正常胆结石或胆泥。3例患者在手术前确诊，1例为偶然发现。这些患者的手术并不比其他患者更困难。
石灰样胆汁是一种罕见发现（1800例胆囊切除术中占0.27%）。腹部平片大多提示胆囊内存在碳酸钙沉淀，但超声无法区分胆石症和石灰样胆汁。大多数患者行腹腔镜切除术无问题。术前诊断这种罕见情况并非必要，因为它不改变治疗方式。
