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腹腔镜胆囊切除术后因卢氏管损伤导致胆汁漏:一例报告

Bile Leak Due to Luschka Duct Injury After Laparoscopic Cholecystectomy: A Case Report.

作者信息

Garcia Sophia, Concepción Arturo M, Wakoff Cesar

机构信息

General Surgery, Instituto de Pós Graduação Médica Carlos Chagas, Rio de Janeiro, BRA.

Bariatric Surgery, Instituto Estadual de Diabetes e Endocrinologia, Rio de Janeiro, BRA.

出版信息

Cureus. 2022 Aug 26;14(8):e28427. doi: 10.7759/cureus.28427. eCollection 2022 Aug.

Abstract

Bile leak is a common complication after laparoscopic cholecystectomy. Anatomical variations in the biliary tree can go unnoticed by the surgical team and cause complications such as this. This case report presents a patient admitted to the emergency department a week after a laparoscopic cholecystectomy due to abdominal pain and nausea. After a computed tomography, the patient was brought to the operating room for an exploratory laparoscopy, where an injured Luschka duct was found. The biliary tree has many variations that the surgeon should be aware of to minimize the risk of complications of this nature after laparoscopic cholecystectomy. There are imagining techniques with various grades of effectiveness, but in the end, the surgeon's expertise and experience are the main factors in avoiding these complications.

摘要

胆漏是腹腔镜胆囊切除术后的常见并发症。手术团队可能会忽略胆道系统的解剖变异,从而引发此类并发症。本病例报告介绍了一名患者,在腹腔镜胆囊切除术后一周因腹痛和恶心入住急诊科。经计算机断层扫描后,患者被送往手术室进行探查性腹腔镜检查,术中发现了受损的卢氏管。胆道系统存在多种变异,外科医生应予以了解,以降低腹腔镜胆囊切除术后此类并发症的发生风险。有多种不同有效性等级的成像技术,但最终,外科医生的专业知识和经验是避免这些并发症的主要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3f1/9512329/23ab63696e09/cureus-0014-00000028427-i01.jpg

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