Arishi Abdul Rahman, Rabie M Ezzedien, Khan M Shahid Hussain, Sumaili Hassan, Shaabi Hassan, Michael Nabil Tadros, Shekhawat Bheem Sing
Department of Surgery, King Fahad Central Hospital, Jazan, Saudi Arabia.
JSLS. 2008 Jul-Sep;12(3):321-5.
Spillage of gallstones may occur in the course of laparoscopic cholecystectomy. The incidence of this mishap and its consequences are variable. Ignored by many surgeons, stone spillage may be the source of significant morbidity many years after surgery. In this report, we describe the clinical course of a patient who presented with upper abdominal pain and swelling. The past history was positive for laparoscopic cholecystectomy 15 years earlier. After excision, the swelling was found to be a pseudocyst formed around spilled gallstones during a previous cholecystectomy. Apart from postoperative wound infection, the patient recovered well and remains so. Here, we discuss the problem and provide suggestions for spillage prevention and stone retrieval once spillage occurs.
在腹腔镜胆囊切除术过程中可能会发生胆结石溢出。这种意外情况的发生率及其后果各不相同。许多外科医生对此并不重视，结石溢出可能是术后多年严重发病的根源。在本报告中，我们描述了一名出现上腹部疼痛和肿胀患者的临床病程。既往史显示15年前曾行腹腔镜胆囊切除术。切除后发现肿胀是先前胆囊切除术期间围绕溢出胆结石形成的假性囊肿。除了术后伤口感染外，患者恢复良好且一直如此。在此，我们讨论这个问题，并为预防溢出以及溢出发生后取石提供建议。
