Chong V H, Yim H B, Lim C C
Gastroenterology Unit, Department of Medicine, RIPAS Hospital, Bandar Seri Begawan BA 1710, Negara Brunei Darussalam.
Singapore Med J. 2004 Nov;45(11):533-5.
Surgical clip migration is a well-known phenomenon ever since their first use in surgery. The mechanism of clip migration is poorly understood, and can occur from days to years after laparoscopic cholecystectomy. Migration of the surgical clips may be a complex process involving necrosis, pressure exerted from intra-abdominal movement, formation of stones over the exposed clip within the bile duct, and eventual migration into the common bile duct. We report two cases, a 58-year-old man and a 54-year-old woman, of clip- induced biliary stones resulting from surgical clip migration a few years after laparoscopic cholecystectomy.
自手术夹首次用于手术以来，手术夹移位就是一个广为人知的现象。手术夹移位的机制尚不清楚，可发生在腹腔镜胆囊切除术后数天至数年。手术夹的移位可能是一个复杂的过程，涉及坏死、腹腔内活动产生的压力、胆管内暴露的夹子上结石的形成，以及最终向胆总管的移位。我们报告两例病例，一名58岁男性和一名54岁女性，他们在腹腔镜胆囊切除术后数年因手术夹移位导致夹子诱发的胆管结石。
