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创伤性出血性胆囊炎的腹腔镜治疗

Laparoscopic management of traumatic hemorrhagic cholecystitis.

作者信息

Shope Timothy R, Bass Thomas L, Haluck Randy S

机构信息

Department of Surgery, Penn State College of Medicine, Hershey, Pennsylvania, USA.

出版信息

JSLS. 2004 Jan-Mar;8(1):93-5.

PMID:14974674
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3015509/
Abstract

BACKGROUND AND OBJECTIVES

Blunt trauma to the gallbladder is a rare entity, particularly when no other organ is injured. In isolated blunt traumatic injury to the gallbladder, treatment options vary depending on the specific injury. The types of blunt trauma injuries to the gallbladder and their appropriate management are discussed. In addition, a case successfully managed with minimally invasive techniques is presented.

METHODS

A passenger admitted after a high-speed front-end motor vehicle crash was safely managed with laparoscopic surgery for a rare case of isolated gallbladder trauma. The preoperative and operative management are discussed as well as the application of minimally invasive surgery for this rare process.

RESULTS

Laparoscopic cholecystectomy was performed successfully. The patient did well postoperatively with no complications. No other injuries were identified at the time of laparoscopy.

CONCLUSION

Minimally invasive techniques may be safely applied to blunt trauma of the gallbladder in certain circumstances.

摘要

背景与目的

胆囊钝性创伤是一种罕见的情况,尤其是在没有其他器官受伤时。在孤立的胆囊钝性创伤中,治疗方案因具体损伤情况而异。本文讨论了胆囊钝性创伤的类型及其合适的处理方法。此外,还介绍了一例采用微创技术成功治疗的病例。

方法

一名在高速机动车前端碰撞事故后入院的乘客,因罕见的孤立性胆囊创伤接受了腹腔镜手术,并成功治愈。本文讨论了术前和手术管理,以及微创手术在这一罕见病例中的应用。

结果

成功实施了腹腔镜胆囊切除术。患者术后恢复良好,无并发症。腹腔镜检查时未发现其他损伤。

结论

在某些情况下,微创技术可安全应用于胆囊钝性创伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/2d140b4f5753/jsls-8-1-93-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/86d9a0c46bfd/jsls-8-1-93-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/34989a8d4df8/jsls-8-1-93-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/2d140b4f5753/jsls-8-1-93-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/86d9a0c46bfd/jsls-8-1-93-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/34989a8d4df8/jsls-8-1-93-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e625/3015509/2d140b4f5753/jsls-8-1-93-g03.jpg

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Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature.孤立性胆囊完全撕脱(接近外伤性胆囊切除术):一例病例报告及文献复习
J Med Case Rep. 2011 Aug 18;5:392. doi: 10.1186/1752-1947-5-392.
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[Isolated injury of the gallbladder. A rare cause of hemorrhagic shock after blunt abdominal trauma in a patient with liver cirrhosis].[胆囊孤立性损伤。肝硬化患者钝性腹部创伤后出血性休克的罕见原因]
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本文引用的文献

1
Traumatic rupture of the gallbladder.胆囊外伤性破裂
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Gallbladder avulsion due to blunt trauma.钝性创伤导致的胆囊撕脱
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