胆囊管残端结石或胆囊残余结石的外科治疗
Surgical Management of Cystic Duct Stump Stone or Gall Bladder Remnant Stone.
作者信息
Kar Abhimanyu, Gulati Sumit, Mohammed Sudheer, Valappil Mithun Valiya, Sarala Bhaviya Bhargavan, Ghatak Supriyo, Bhattacharyya Avik
机构信息
Department of Surgical Gastroenterology, Calcutta Medical Research Institute, 7/2 Diamond Harbour Road, Kolkata, 700027 India.
Department of General Surgery, Calcutta Medical Research Institute, 7/2 Diamond Harbour Road, Kolkata, 700027 India.
出版信息
Indian J Surg. 2018 Jun;80(3):284-287. doi: 10.1007/s12262-018-1724-5. Epub 2018 Jan 27.
Abstract
Retained calculi in the cystic duct or gall bladder remnant can present as a post-cholecystectomy problem. Increased suspicion is necessary to diagnose this condition in a symptomatic post-cholecystectomy patient. Ultrasonography usually detects this condition, but magnetic resonance cholangiopancreatography is the test of choice for diagnosis as well as for surgical planning. Laparoscopic re-excision of the stump in most cases is feasible and safe. It is increasingly becoming the treatment of choice.
摘要
胆囊管或胆囊残端残留结石可表现为胆囊切除术后的问题。对于有症状的胆囊切除术后患者，需要提高警惕以诊断这种情况。超声检查通常能发现这种情况，但磁共振胆胰管造影术是诊断以及手术规划的首选检查。在大多数情况下，腹腔镜下残端再次切除术是可行且安全的。它越来越成为首选的治疗方法。
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