Puia I C, Vlad L, Iancu C, Al-Hajjar N, Pop F, Bălă O, Munteanu D
Universitatea de Medicină şi Farmacie Iuliu Haţieganu, Cluj-Napoca, România.
Chirurgia (Bucur). 2005 Mar-Apr;100(2):187-9.
The porcelain gallbladder is uncommon type of chronically inflamed gallbladder wall considered to be associated with a high frequency of adenocarcinoma and subsequently not suitable for a laparoscopic approach. In 12,000 patients chosen for a laparoscopic cholecystectomy 4 porcelain gallbladders were diagnosed. In 2 cases the laparoscopic approach was successful. One conversion was due to an unconfirmed suspicion of gallbladder cancer and the other one to a fistula between the gallbladder and the common bile duct. Patients with a preoperative diagnosis of porcelain gallbladder must not be excluded from the laparoscopic approach yet a low threshold for conversion must be maintained in those with a cancer suspicion.
瓷性胆囊是慢性胆囊壁炎症的一种罕见类型，被认为与腺癌的高发病率相关，因此不适合采用腹腔镜手术。在12000例接受腹腔镜胆囊切除术的患者中，诊断出4例瓷性胆囊。其中2例腹腔镜手术成功。1例中转开腹是由于对胆囊癌的怀疑未经证实，另1例是由于胆囊与胆总管之间形成瘘管。术前诊断为瓷性胆囊的患者不应被排除在腹腔镜手术之外，但对于怀疑有癌症的患者，必须保持较低的中转开腹阈值。
