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腹腔镜胆囊切除术期间的肝门损伤

Porta Hepatis Injury during Laparoscopic Cholecystectomy.

作者信息

Shammout Reem, Al Habbal Raiean, Rayya Fadi

机构信息

Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.

Department of General Surgery, Al-Assad University Hospital, Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic.

出版信息

Case Rep Gastroenterol. 2020 Apr 28;14(1):234-241. doi: 10.1159/000507431. eCollection 2020 Jan-Apr.

Abstract

Iatrogenic porta hepatis injury is a rare but devastating surgical complication of laparoscopic cholecystectomy. There are no systematic studies examining the best treatment strategy in patients with this injury. We present a case of a 23-year-old woman with a large abscess in the right hepatic lobe due to an extreme vasculobiliary injury after laparoscopic cholecystectomy. Although rare, the impact of vasculobiliary injuries after cholecystectomy highlights the need for constant alertness and prompt management in order to minimize mortality and morbidity usually associated with the routine operative procedure.

摘要

医源性肝门损伤是腹腔镜胆囊切除术中一种罕见但极具破坏性的手术并发症。目前尚无系统研究探讨此类损伤患者的最佳治疗策略。我们报告一例23岁女性患者,因腹腔镜胆囊切除术后发生严重血管胆管损伤,导致右肝叶出现巨大脓肿。尽管罕见,但胆囊切除术后血管胆管损伤的影响凸显了持续警惕和及时处理的必要性,以便将通常与常规手术相关的死亡率和发病率降至最低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be8/7204780/b0e89a58deb4/crg-0014-0234-g01.jpg

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