肝包膜下胆汁瘤：腹腔镜胆囊切除术和胆总管探查术的一种罕见并发症。
Hepatic subcapsular biloma: a rare complication of laparoscopic cholecystectomy and common bile duct exploration.
作者信息
Braithwaite Brian M, Cabanilla Leandro T, Lilly Michael
机构信息
Keesler Medical Center, Keesler Air Force Base, Mississippi 39534, USA.
出版信息
Curr Surg. 2003 Mar-Apr;60(2):196-8. doi: 10.1016/S0149-7944(02)00738-9.
PURPOSE
Description of an unusual complication of laparoscopic cholecystectomy and common bile duct exploration.
METHODS
Case report from experience at an Air Force tertiary care hospital in a 70-year-old woman undergoing laparoscopic cholecystectomy. Literature search for journal articles reporting similar complications using Medline, PubMed, and Ovid Internet search systems.
RESULTS
A hepatic subcapsular biloma was diagnosed on postoperative day 11 from an elective laparoscopic cholecystectomy and common bile duct exploration. Review of the literature found only 2 other reports of this complication.
CONCLUSIONS
Hepatic subcapsular biloma is a rare complication of laparoscopic cholecystectomy. Computed tomography is highly sensitive for diagnosing bilomas, and percutaneous drainage procedures are appropriate treatment. Imaging of the biliary tree should be performed early to determine the location and extent of bile leaks.
目的
描述腹腔镜胆囊切除术和胆总管探查术的一种罕见并发症。
方法
来自一家空军三级护理医院的病例报告，该病例为一名70岁女性接受腹腔镜胆囊切除术。使用Medline、PubMed和Ovid互联网搜索系统检索报道类似并发症的期刊文章。
结果
一名接受择期腹腔镜胆囊切除术和胆总管探查术的患者在术后第11天被诊断为肝包膜下胆汁瘤。文献回顾仅发现另外2例关于该并发症的报道。
结论
肝包膜下胆汁瘤是腹腔镜胆囊切除术的一种罕见并发症。计算机断层扫描对胆汁瘤的诊断高度敏感，经皮引流术是合适的治疗方法。应尽早对胆道系统进行成像，以确定胆汁漏的位置和范围。
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