Misiakos Evangelos P, Karatzas Gabriel, Macheras Anastasios, Bistarakis Dimitrios, Kakisis John, Brountzos Elias N, Liakakos Theodore
3rd Department of Surgery, University of Athens School of Medicine, Attikon University Hospital, Athens, Greece.
J Laparoendosc Adv Surg Tech A. 2007 Oct;17(5):655-8. doi: 10.1089/lap.2006.0179.
The case of a patient with gallbladder empyema initially drained through a minilaparotomy procedure under local anesthesia with a tube cholecystostomy is reported in this paper. Eight weeks later, the patient underwent an elective interval laparoscopic cholecystectomy. At laparoscopy, the gallbladder and the cholecystostomy tube were dissected free from the abdominal wall and the greater omentum, which was attached to the gallbladder. The tube was removed from the gallbladder fundus, and the operation was completed laparoscopically without any major problems.
本文报道了一例胆囊积脓患者的病例，该患者最初在局部麻醉下通过小切口剖腹手术进行胆囊造瘘引流。八周后，患者接受了择期腹腔镜胆囊切除术。在腹腔镜检查时，将胆囊和胆囊造瘘管从腹壁和附着于胆囊的大网膜上分离出来。将造瘘管从胆囊底部取出，腹腔镜手术顺利完成，未出现任何重大问题。
