Department of Paediatrics, Meander Medical Centre, Postbus 1502, 3800 BM, Amersfoort, The Netherlands.
Eur J Pediatr. 2012 Mar;171(3):587-8. doi: 10.1007/s00431-011-1622-3. Epub 2011 Nov 12.
A 2-year-old girl who presented with acute abdominal pain and spiking fever was diagnosed with an infected urachal cyst. Ultrasonography aided the diagnosis and the urachal remnant was removed successfully through a single laparoscopic procedure. Treatment is through removal of the complete structure, to prevent malignant degeneration in adulthood.
Urachal cysts may cause abdominal complaints when infected. Although rare, they should be added to the differential diagnosis of acute abdominal pain in the paediatric patient, as this case illustrates.
目的:本研究旨在通过回顾性分析 2015 年 1 月至 2019 年 12 月期间接受内镜逆行胰胆管造影(ERCP)治疗的 262 例胆总管结石患者的临床资料,探讨 ERCP 联合腹腔镜胆囊切除术(LC)治疗胆总管结石合并胆囊结石的临床效果。
方法:回顾性分析我院收治的 262 例胆总管结石合并胆囊结石患者的临床资料,所有患者均接受 ERCP 联合 LC 治疗,比较患者的手术时间、术中出血量、术后住院时间、结石清除率、术后并发症发生率等指标。
结果:所有患者均顺利完成手术,无中转开腹病例。手术时间为(100.56±15.23)min,术中出血量为(20.14±5.23)ml,术后住院时间为(3.56±0.53)d。结石清除率为 96.15%(251/262)。术后发生并发症 23 例(8.81%),其中胆漏 3 例,胰腺炎 6 例,出血 5 例,感染 4 例,切口愈合不良 5 例,均经保守治疗后治愈。
结论:ERCP 联合 LC 治疗胆总管结石合并胆囊结石安全有效,可缩短患者的住院时间,减少手术创伤,降低术后并发症的发生率。