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部分胆囊切除术导致复发性急性胆囊炎和胆总管结石。

Partial cholecystectomy resulting in recurrent acute cholecystitis and choledocholithiasis.

作者信息

Sosulski Ab, Fei Jz, DeMuro Jp

机构信息

Winthrop University Hospital, New York, USA.

出版信息

J Surg Case Rep. 2012 Sep 1;2012(9):17. doi: 10.1093/jscr/2012.9.17.

Abstract

Partial cholecystectomy has been documented in the literature as a safe alternative in the management of patients with acute cholecystitis when the degree of inflammation prevents a safe dissection to identify the biliary structures for complete removal of the gallbladder. Partial cholecystectomy however is not without risk of recurrence, and the need for further surgical or endoscopic intervention in management of complications. We review a case in which partial cholecystectomy was performed without any relief of symptoms, to review the possible postoperative complications, and caution that these patients will need to be considered for a completion cholecystectomy.

摘要

文献记载,当炎症程度妨碍安全解剖以识别胆管结构来完整切除胆囊时,部分胆囊切除术是治疗急性胆囊炎患者的一种安全替代方法。然而,部分胆囊切除术并非没有复发风险,且在处理并发症时需要进一步的手术或内镜干预。我们回顾了一例实施部分胆囊切除术后症状未缓解的病例,以探讨可能的术后并发症,并提醒对于这些患者需考虑行胆囊完整切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7211/3649628/633c98e0c77d/jscr-2012-9-17fig1.jpg

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