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妊娠期胆总管结石的处理：一种新方法。

Managing choledocholithiasis in pregnancy: a novel approach.

作者信息

Chamberlain Stacey Louise, Croagh Daniel

机构信息

UGI and HPB Surgery, Monash Health, Clayton, Victoria, Australia

UGI and HPB Surgery, Monash Health, Clayton, Victoria, Australia.

出版信息

BMJ Case Rep. 2020 Mar 12;13(3):e232955. doi: 10.1136/bcr-2019-232955.

DOI:10.1136/bcr-2019-232955
PMID:32169979
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7069309/
Abstract

The management of choledocholithiasis in pregnancy can present a challenge due to radiation risk to the fetus and the possibility of severe maternal pancreatitis. We describe a case in which both these risks were avoided using a trans-cystic stent placed under endoscopic guidance during laparoscopic cholecystectomy.

摘要

由于存在对胎儿的辐射风险以及发生严重母体胰腺炎的可能性，妊娠期胆总管结石的处理颇具挑战性。我们描述了一例在腹腔镜胆囊切除术期间，于内镜引导下放置经胆囊支架从而避免了这两种风险的病例。

相似文献

1
Managing choledocholithiasis in pregnancy: a novel approach.妊娠期胆总管结石的处理：一种新方法。
BMJ Case Rep. 2020 Mar 12;13(3):e232955. doi: 10.1136/bcr-2019-232955.
2
[Possibilities of transpapillary and laparoscopic methods of choledocholithiasis treatment].[经乳头及腹腔镜治疗胆总管结石的方法的可能性]
Klin Khir. 2011 Mar(3):12-7.
3
Single-step treatment of gall bladder and bile duct stones: a combined endoscopic-laparoscopic technique.胆囊和胆管结石的单步治疗：一种内镜-腹腔镜联合技术。
Int J Surg. 2009 Aug;7(4):338-46. doi: 10.1016/j.ijsu.2009.05.005. Epub 2009 May 27.
4
Endoscopic treatment of the choledocholithiasis--effectiveness, safety and limitations of the method.内镜治疗胆总管结石——该方法的有效性、安全性及局限性
Pol Przegl Chir. 2012 Jul;84(7):333-40. doi: 10.2478/v10035-012-0056-6.
5
A multimodal approach to acute biliary pancreatitis during pregnancy: a case series.孕期急性胆源性胰腺炎的多模式治疗方法：病例系列
Surg Laparosc Endosc Percutan Tech. 2012 Oct;22(5):429-32. doi: 10.1097/SLE.0b013e31825e38bb.
6
[Results of surgical treatment of choledocholithiasis in aged and elderly patients].
Klin Khir. 2009 Jul-Aug(7-8):12-4.
7
Comparing a single-staged laparoscopic cholecystectomy with common bile duct exploration versus a two-staged endoscopic sphincterotomy followed by laparoscopic cholecystectomy.比较一期腹腔镜胆囊切除术联合胆总管探查术与两期内镜下括约肌切开术联合腹腔镜胆囊切除术。
Surgery. 2018 Nov;164(5):1030-1034. doi: 10.1016/j.surg.2018.05.052. Epub 2018 Jul 24.
8
Early laparoscopic cholecystectomy improves outcomes after endoscopic sphincterotomy for choledochocystolithiasis.早期腹腔镜胆囊切除术可改善内镜下乳头括约肌切开术治疗胆总管结石的预后。
Gastroenterology. 2010 Jun;138(7):2315-20. doi: 10.1053/j.gastro.2010.02.052. Epub 2010 Mar 2.
9
Single-stage management of cholelithiasis and choledocholithiasis: Laparoscopic cholecystectomy and intra-operative endoscopic sphincterotomy (with video).胆囊结石和胆总管结石的单阶段管理：腹腔镜胆囊切除术和术中内镜括约肌切开术（附视频）
J Visc Surg. 2018 Sep;155(4):311-316. doi: 10.1016/j.jviscsurg.2018.03.011. Epub 2018 Jul 30.
10
Impacted biliary basket.嵌顿性胆道取石篮
Gastrointest Endosc. 2005 Sep;62(3):474. doi: 10.1016/j.gie.2005.04.041.

引用本文的文献

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Pregnant patients requiring emergency general surgery: a scoping review of diagnostic and management strategies.需要急诊普通外科手术的孕妇：诊断和管理策略的范围综述
Can J Surg. 2025 May 29;68(3):E190-E213. doi: 10.1503/cjs.001124. Print 2025 May-Jun.

本文引用的文献

1
A successful combined laparoscopic cholecystectomy and laparoscopic exploration of common bile duct for acute gangrenous cholecystitis and choledocholithiasis during pregnancy: A case report.孕期急性坏疽性胆囊炎合并胆总管结石行腹腔镜胆囊切除术联合腹腔镜胆总管探查术成功：一例报告
Int J Surg Case Rep. 2019;58:14-17. doi: 10.1016/j.ijscr.2019.03.062. Epub 2019 Apr 8.
2
Laparoscopic management is feasible for nonobstetric surgical disease in all trimesters of pregnancy.腹腔镜手术在妊娠的所有阶段均可用于非产科外科疾病的治疗。
Surg Endosc. 2018 Jun;32(6):2643-2649. doi: 10.1007/s00464-018-6189-x. Epub 2018 Apr 13.
3
Demystifying endoscopic retrograde cholangiopancreatography (ERCP) during pregnancy.揭秘孕期内镜逆行胰胆管造影术（ERCP）
Eur J Obstet Gynecol Reprod Biol. 2017 Dec;219:35-39. doi: 10.1016/j.ejogrb.2017.10.008. Epub 2017 Oct 8.
4
Committee Opinion No. 723 Summary: Guidelines for Diagnostic Imaging During Pregnancy and Lactation.第723号委员会意见摘要：孕期及哺乳期诊断性影像学检查指南
Obstet Gynecol. 2017 Oct;130(4):933-934. doi: 10.1097/AOG.0000000000002350.
5
Outcomes of Gallstone Disease during Pregnancy: a Population-based Data Linkage Study.妊娠期胆结石疾病的结局：一项基于人群的数据关联研究。
Paediatr Perinat Epidemiol. 2017 Nov;31(6):522-530. doi: 10.1111/ppe.12406. Epub 2017 Sep 7.
6
Laparoscopic versus open cholecystectomy in pregnancy: a systematic review and meta-analysis.妊娠期腹腔镜与开腹胆囊切除术：一项系统评价与荟萃分析
Surg Endosc. 2017 Feb;31(2):673-679. doi: 10.1007/s00464-016-5019-2. Epub 2016 Jun 20.
7
Laparoscopic surgery performed in advanced pregnancy compared to early pregnancy.晚期妊娠与早期妊娠相比进行的腹腔镜手术。
Arch Gynecol Obstet. 2015 Nov;292(5):1063-8. doi: 10.1007/s00404-015-3744-8. Epub 2015 May 10.
8
Pregnancy is a Risk Factor for Pancreatitis After Endoscopic Retrograde Cholangiopancreatography in a National Cohort Study.在一项全国性队列研究中，妊娠是内镜逆行胰胆管造影术后胰腺炎的一个危险因素。
Clin Gastroenterol Hepatol. 2016 Jan;14(1):107-14. doi: 10.1016/j.cgh.2015.04.175. Epub 2015 May 5.
9
Conservative management of cholelithiasis and its complications in pregnancy is associated with recurrent symptoms and more emergency department visits.在妊娠期间，对胆石症及其并发症进行保守治疗与症状反复发作和更多急诊就诊相关。
Gastrointest Endosc. 2012 Sep;76(3):564-9. doi: 10.1016/j.gie.2012.04.475. Epub 2012 Jun 23.
10
Outcomes following cholecystectomy in pregnant and nonpregnant women.孕妇和非孕妇胆囊切除术后的结局。
Surgery. 2009 Aug;146(2):358-66. doi: 10.1016/j.surg.2009.03.033.