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腹腔镜下胆囊重复畸形的处理

Laparoscopic management of gallbladder duplication.

作者信息

Nursal Tarik Zafer, Ulusan Serife, Tercan Fahri, Yildirim Sedat, Tarim Akin, Noyan Turgut, Bilgin Nevzat

机构信息

Department of General Surgery, School of Medicine, Başkent University, Adana, Turkey.

出版信息

Int Surg. 2007 Jul-Aug;92(4):195-7.

Abstract

Gallbladder duplication is a rare condition. Because laparoscopic cholecystectomy is the primary treatment modality for the diseased single gallbladders, it should be the choice of treatment for double gallbladders. However, preoperative imaging methods may be unsatisfactory for the correct diagnosis. As a result, incomplete resections may be performed. Intraoperative cholangiography should be performed in suspected cases to prevent inadvertent injury to the biliary system. In this report, we present a symptomatic patient with double gallbladders with separate cystic ducts in whom the gallbladders were successfully resected as a single specimen by laparoscopic means. The pitfalls of diagnostic modalities and surgical strategy are discussed in the context of the available literature.

摘要

胆囊重复是一种罕见的病症。由于腹腔镜胆囊切除术是治疗患病单胆囊的主要治疗方式,因此它也应是双胆囊的治疗选择。然而,术前成像方法对于正确诊断可能并不令人满意。结果,可能会进行不完全切除。对于疑似病例应进行术中胆管造影,以防止意外损伤胆道系统。在本报告中,我们介绍了一位有症状的双胆囊患者,其胆囊管分开,通过腹腔镜手段成功将胆囊作为单个标本切除。结合现有文献讨论了诊断方法和手术策略的陷阱。

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