Seyyedmajidi Mohammadreza, Hosseini Seyed Ashkan, Hajiebrahimi Shahin, Vafaeimanesh Jamshid
Golestan Research Center of Gastroenterology and Hepatology-GRCGH, Golestan University of Medical Sciences, Gorgan, Iran.
Case Rep Gastrointest Med. 2013;2013:251634. doi: 10.1155/2013/251634. Epub 2013 May 7.
Laparoscopic cholecystectomy (LC) and common bile duct exploration (LCBDE) have become the standard surgical procedure for cholecystolithiasis and choledocholithiasis. During the operation, cystic duct and vessels are usually controlled by Hem-o-Lok clips. We report a case with a complaint of severe abdominal pain for the previous 20 days. Her medical history was unremarkable except for laparoscopic cholecystectomy 8 months ago. In upper gastrointestinal endoscopy, two Hem-o-Lok clips at anterior wall of the first part of duodenum were detected. Therefore, the clip can migrate during postoperative period and Hem-o-Lok is not a very safe ligation method during laparoscopic cholecystectomy.
腹腔镜胆囊切除术（LC）和胆总管探查术（LCBDE）已成为治疗胆囊结石和胆总管结石的标准外科手术。手术过程中，胆囊管和血管通常用Hem-o-Lok夹进行控制。我们报告一例患者，主诉在过去20天里有严重腹痛。除了8个月前进行过腹腔镜胆囊切除术外，她的病史无明显异常。在上消化道内镜检查中，在十二指肠第一部前壁发现了两个Hem-o-Lok夹。因此，夹子在术后可能会移位，并且在腹腔镜胆囊切除术中Hem-o-Lok不是一种非常安全的结扎方法。
