经皮胆囊穿刺造瘘术后胆囊结石残留并发生戳卡疝
Retained gallbladder stones in trocar site hernia.
出版信息
Ann Ital Chir. 2020 Mar 30;9:S2239253X20032545.
AIM
Retained stones after laparoscopic cholecystectomy occur after perforated gallbladder during surgery. A trocar site hernia with 8 retained gallstones is presented.
PATIENT-METHOD: A 54-year-old female presented to our clinics with a paraumbilical hernia in trocar site. The patient had laparoscopic cholecystectomy in another hospital one year ago. Retained stones were noticed in the trocar site while preparing patients for hernia surgery. The patient had laparoscopic hernia repair with the removal of retained stones. 8 stones sized up to 2 cm were taken out of the abdomen. It seems to be the first case of retained stones in trocar site hernia.
CONCLUSION
Gallbladder perforations are common during laparoscopic cholecystectomy due to traction with forceps or inflammation. Careful inspection for spillage stone should be done.
KEY WORDS
Laparoscopic cholecystectomy, Retained Stones, hernia, Trocar Site.
目的
腹腔镜胆囊切除术后残留结石发生在胆囊穿孔期间。本文介绍了一种伴有 8 枚残留胆囊结石的套管部位疝。
病例-方法：一名 54 岁女性因脐旁疝就诊于我院，患者一年前曾在另一医院行腹腔镜胆囊切除术。在准备疝手术时，于套管部位发现残留结石。患者行腹腔镜疝修补术并取出残留结石。从腹部取出 8 枚大小达 2 厘米的结石。这似乎是套管部位疝中首例残留结石。
结论
腹腔镜胆囊切除术时由于钳子牵引或炎症导致胆囊穿孔较为常见。应仔细检查是否有结石溢出。
关键词
腹腔镜胆囊切除术、残留结石、疝、套管部位。
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