腹腔镜胆囊切除术期间胆道损伤的两例病例报告
Two Case Reports of Biliary Tract Injuries during Laparoscopic Cholecystectomy.
作者信息
Romano O, Romano C, Cerbone D, Sperlongano P, Caserta L, Frega N, Cimmino G, D'Agostino A, Addeo R
机构信息
General Surgery Division, "Cardinale Ascalesi" Hospital, Via egiziaca a Forcella, 80100 Naples, Italy.
出版信息
ISRN Gastroenterol. 2011;2011:868471. doi: 10.5402/2011/868471. Epub 2011 Feb 21.
Background and Study Aims. Biliary tract injuries (BTI) represent the most serious and potentially life-threatening complication of cholecystectomy occurring also during laparoscopic approaches. Patients and Methods. We describe and discuss two different cases of BTI occurring during laparoscopic cholecystectomy (LC). Results. Two patients developed BTI during LC and one evidenced the complication during the LC itself and was treated during the same LC in real time. The other patient evidenced BTI only after the primary intervention and was successfully reoperated in laparotomy after 10 days from the LC. Conclusions. The factors that predispose to the occurrence of BTI during cholecystectomy and the cautions to be used to prevent BTI are discussed.
背景与研究目的。胆道损伤（BTI）是胆囊切除术最严重且可能危及生命的并发症，在腹腔镜手术中也会发生。患者与方法。我们描述并讨论了腹腔镜胆囊切除术（LC）期间发生的两例不同的BTI病例。结果。两名患者在LC期间发生BTI，其中一名在LC过程中即出现并发症并在同一台LC手术中实时接受治疗。另一名患者仅在初次手术后才发现BTI，并在LC术后10天成功接受剖腹手术。结论。讨论了胆囊切除术期间易发生BTI的因素以及预防BTI应注意的事项。
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