Wasserberg Nir, Gal Eyal, Fuko Zeev, Niv Yaron, Lelcuk Shlomo, Rubin Moshe
Department of Surgery B, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
Surg Laparosc Endosc Percutan Tech. 2003 Dec;13(6):387-8. doi: 10.1097/00129689-200312000-00008.
The wide use of surgical clips in laparoscopic surgery has led to a variety of complications. We describe two cases in which a surgical clip was incorporated into a duodenal ulcer after laparoscopic cholecystectomy. The presenting symptom was acute gastrointestinal bleeding. Both patients were treated endoscopically, and the bleeding stopped after the clip was removed from the ulcer base. Although the mechanism by which a surgical clip migrates into the duodenum is unclear, we recommend meticulous Calot's triangle dissection and removal of any wandering or misplaced clips. Endoscopic removal is recommended when a surgical clip is discovered in a bleeding ulcer.
手术夹在腹腔镜手术中的广泛应用已导致多种并发症。我们描述了两例在腹腔镜胆囊切除术后手术夹嵌入十二指肠溃疡的病例。主要症状为急性胃肠道出血。两名患者均接受了内镜治疗，从溃疡底部取出夹子后出血停止。虽然手术夹迁移至十二指肠的机制尚不清楚，但我们建议在处理胆囊三角时要细致，并移除任何游走或位置不当的夹子。当在出血性溃疡中发现手术夹时，建议进行内镜下取出。
