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[医源性小肠穿孔作为腹腔镜胆囊切除术的一种并发症]

[The iatrogenic small bowel perforation as a complication of laparoscopic cholecystectomy].

作者信息

Bida B, Manger Th

机构信息

Klinik für Chirurgie, Klinikum Frankfurt/Oder, Germany.

出版信息

Zentralbl Chir. 2002 Jun;127(6):554-8. doi: 10.1055/s-2002-32623.

DOI:10.1055/s-2002-32623
PMID:12094286
Abstract

Having done 1 125 laparoscopic cholecystectomies we want to report an exceptional case of perioperative bowel lesion. The symptoms began with abdominal pain on the third postoperative day, followed by an evacuation of intestinal contents out of the Robinson-Drainage. The laparotomy showed a 4 mm lesion of the terminal ileum, which could be excised and closed. Any other complications were not recognized. The reason that caused the perforation could not be clarified. Possible mechanisms will be discussed.

摘要

在完成1125例腹腔镜胆囊切除术后,我们想报告一例围手术期肠道病变的特殊病例。症状始于术后第三天的腹痛,随后肠道内容物从罗宾逊引流管排出。剖腹探查显示回肠末端有一个4毫米的病变,可将其切除并缝合。未发现其他并发症。导致穿孔的原因无法明确。将讨论可能的机制。

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