Welch N T, Fitzgibbons R J, Hinder R A
Creighton University, School of Medicine, Department of Surgery, Omaha, Nebraska 68131.
Surg Laparosc Endosc. 1991 Sep;1(3):202-5.
Technical problems of retraction and hemorrhage during laparoscopic removal of a porcelain gallbladder are described. Although laparoscopic cholecystectomy was successful, a blood transfusion was required. We believe that porcelain gallbladder is a relative contraindication to laparoscopic cholecystectomy. The merits of plain radiography, computed tomography, and ultrasound in making the diagnosis are also discussed.
描述了腹腔镜切除瓷性胆囊过程中回缩和出血的技术问题。尽管腹腔镜胆囊切除术成功，但仍需要输血。我们认为瓷性胆囊是腹腔镜胆囊切除术的相对禁忌证。还讨论了X线平片、计算机断层扫描和超声在诊断中的优点。
