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腹腔镜切除巨大胆总管囊肿 1 例罕见病例报告。

Laparoscopic resection of a giant choledochal cyst: A rare case report.

机构信息

Department of Hepatobiliary Surgery, the Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.

Guangxi Clinical Medical Research Center for Hepatobiliary Diseases, the Affiliated Hospital of Youjiang Medical University for Nationalities, Baise, China.

出版信息

J Int Med Res. 2024 May;52(5):3000605241247695. doi: 10.1177/03000605241247695.

Abstract

Giant choledochal cysts are rare, and so little data exist on the best surgical treatment method. We present here, a case of a giant choledochal cyst that was successfully excised by laparoscopic resection. A 37-year-old female presented with right upper abdominal pain and mild jaundice. On examination she had a right upper abdominal mass which on imaging was observed to be a giant choledochal cyst of type IVa, measuring approximately 129 mm × 190 mm. Her blood test results showed abnormal liver function. We successfully performed laparoscopic resection of the cyst, the patient recovered well and was discharged from hospital eight days post-operation without any complications. We wish to share the experience of this rare case and provide some clinical basis for future diagnosis and use of laparoscopic resection in the treatment of giant choledochal cysts.

摘要

巨大胆总管囊肿罕见,因此关于最佳手术治疗方法的数据很少。我们在此报告一例成功通过腹腔镜切除治疗的巨大胆总管囊肿病例。一名 37 岁女性因右上腹疼痛和轻度黄疸就诊。体格检查发现右上腹有一肿块,影像学检查显示为 IVa 型巨大胆总管囊肿,大小约为 129mm×190mm。血液检查结果显示肝功能异常。我们成功地进行了腹腔镜下囊肿切除术,患者恢复良好,术后 8 天出院,无任何并发症。我们希望分享这一罕见病例的经验,并为未来腹腔镜切除治疗巨大胆总管囊肿提供一些临床依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0596/11113031/ce6bcf8730f6/10.1177_03000605241247695-fig1.jpg

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