Rosin Danny, Portnoy Orith, Stanewsky Anfisa, Bar Zakai Barak, Yanko-Arazi Ravit, Kuriansky Yosef, Shabtai Moshe, Ayalon Amram
Department of General Surgery and Transplantation, F. Sheba Medical Center, Tel Hashomer.
Harefuah. 2003 Mar;142(3):176-8, 239.
The laparoscopic approach to abdominal emergencies, including bowel obstruction, has recently become more prevalent. A gallstone, entering the bowel through a cholecysto-enteric fistula, is a rare cause of bowel obstruction. The laparoscopic management of gallstone ileus has been described, but mostly as a laproscopic-assisted procedure, with a limited abdominal incision to treat the obstructed bowel. We describe a case in which we used a totally laparoscopic approach to treat gallstone ileus.
腹腔镜手术治疗包括肠梗阻在内的腹部急症，近年来变得更为普遍。胆囊结石通过胆囊肠瘘进入肠道，是肠梗阻的一种罕见病因。已有关于腹腔镜治疗胆囊结石性肠梗阻的描述，但大多是作为腹腔镜辅助手术，通过有限的腹部切口来治疗梗阻肠段。我们描述了一例采用完全腹腔镜手术方法治疗胆囊结石性肠梗阻的病例。
