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本文引用的文献

1
Post-cholecystectomy syndrome: spectrum of biliary findings at magnetic resonance cholangiopancreatography.胆囊切除术后综合征：磁共振胰胆管成像的胆道表现谱。
Br J Radiol. 2010 Apr;83(988):351-61. doi: 10.1259/bjr/99865290.
2
Post cholecystectomy syndrome: Role of cystic duct stump and re-intervention by laparoscopic surgery.胆囊切除术后综合征：胆囊管残端的作用及腹腔镜手术再次干预
J Minim Access Surg. 2008 Jul;4(3):71-5. doi: 10.4103/0972-9941.43090.
3
Laparoscopic management of remnant cystic duct calculi: a retrospective study.腹腔镜治疗残余胆囊管结石：一项回顾性研究。
Ann R Coll Surg Engl. 2009 Jan;91(1):25-9. doi: 10.1308/003588409X358980. Epub 2008 Nov 4.
4
Reoperation of biliary tract by laparoscopy: experiences with 39 cases.腹腔镜胆道再次手术：39例经验
World J Gastroenterol. 2008 May 21;14(19):3081-4. doi: 10.3748/wjg.14.3081.
5
Retained gallbladder remnant after laparoscopic cholecystectomy.腹腔镜胆囊切除术后残留胆囊残余物。
J Laparoendosc Adv Surg Tech A. 2008 Apr;18(2):276-9. doi: 10.1089/lap.2006.0210.
6
Postcholecystectomy syndrome in the laparoscopic era.腹腔镜时代的胆囊切除术后综合征
J Laparoendosc Adv Surg Tech A. 2006 Oct;16(5):482-5. doi: 10.1089/lap.2006.16.482.
7
Endoscopic retrograde removal of gallbladder remnant calculus.内镜逆行切除胆囊残余结石。
Gastrointest Endosc. 2006 Aug;64(2):272-3. doi: 10.1016/j.gie.2006.01.042. Epub 2006 May 19.
8
Extracorporeal shockwave lithotripsy of gallstones in cystic duct remnants and Mirizzi syndrome.胆囊管残余结石及Mirizzi综合征的体外冲击波碎石术
Gastrointest Endosc. 2004 Sep;60(3):454-9. doi: 10.1016/s0016-5107(04)01810-3.
9
Cystic duct remnant and the 'post-cholecystectomy syndrome'.胆囊管残余与“胆囊切除术后综合征”
Hepatogastroenterology. 2004 Jan-Feb;51(55):36-8.
10
Postcholecystectomy syndrome: a survey of 114 patients after biliary tract surgery.胆囊切除术后综合征：114例胆道手术后患者的调查
Gastroenterologia. 1960;93:288-93. doi: 10.1159/000202839.

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.

DOI:10.1007/s12262-018-1724-5
PMID:29973763
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6014961/
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。