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经腹腔镜联合经胆囊管胆道镜治疗双胆囊合并胆总管结石1例报告

A double gallbladder with a common bile duct stone treated by laparoscopy accompanied by choledochoscopy via the cystic duct: A case report.

作者信息

Yu Wei, Yuan Huisheng, Cheng Shi, Xing Ying, Yan Wenmao

机构信息

Department of General Surgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, P.R. China.

出版信息

Exp Ther Med. 2016 Dec;12(6):3521-3526. doi: 10.3892/etm.2016.3834. Epub 2016 Oct 25.

Abstract

A double gallbladder is a rare congenital malformation. The present study describes a case of double gallbladder with secondary common bile duct stones. By way of laparoscopic choledochoscopy, the exploration and removal of a common bile duct stone was performed through the cystic duct. The process involved a primary suture of the cystic duct and was performed without using a T-tube, and completed a surgical removal of the gallbladder. The present case was successfully treated by laparoscopic surgery. From a review of previous studies published in the English language, this study, to the best of our knowledge, is the first report of such a case. Therefore, laparoscopic dissection is safe for the removal of a double gallbladder and for exploration of the common duct by choledochoscopy.

摘要

双胆囊是一种罕见的先天性畸形。本研究描述了一例伴有继发性胆总管结石的双胆囊病例。通过腹腔镜胆管镜检查,经胆囊管对胆总管结石进行探查和取出。该过程包括对胆囊管进行一期缝合,且未使用T管,并完成了胆囊的手术切除。本病例通过腹腔镜手术成功治疗。据我们所知,从对以往英文发表的研究回顾来看,本研究是此类病例的首例报道。因此,腹腔镜解剖对于双胆囊切除及通过胆管镜探查胆总管是安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/095c/5228197/59d487a41de3/etm-12-06-3521-g00.jpg

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