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腹腔镜胆囊切除术后机器人辅助清除溢出的胆结石:利用新技术解决慢性腹痛

Robotic Removal of Spilled Gallstones After Laparoscopic Cholecystectomy: Resolving Chronic Abdominal Pain Using New Technology.

作者信息

Vu Alexander H, Woo Jacqueline E, Chiang Jessica, Timoney Michael

机构信息

General Surgery, New York University (NYU) Langone, Brooklyn, USA.

Institute of Human Nutrition, Columbia University College of Physicians and Surgeons, New York, USA.

出版信息

Cureus. 2024 Jul 15;16(7):e64618. doi: 10.7759/cureus.64618. eCollection 2024 Jul.

DOI:10.7759/cureus.64618
PMID:39149626
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11326770/
Abstract

Spilled gallstones during laparoscopic cholecystectomy can potentially lead to serious complications in patients. We present a case of a patient with gallstone spillage during cholecystectomy who was found years later to have gallstones stuck in a difficult location, requiring robotic surgery. A robotic approach allows for greater visual angles compared to conventional laparoscopy. The patient tolerated the robotic procedure successfully, and no patient symptoms were reported during follow-up. This case addresses retained gallstones for difficult anatomical positions and confirms that a robotic abdominal approach is a safe, minimally invasive option.

摘要

腹腔镜胆囊切除术中胆囊结石溢出可能会给患者带来严重并发症。我们报告一例胆囊切除术中出现胆囊结石溢出的患者,数年后发现结石卡在一个困难位置,需要机器人手术。与传统腹腔镜检查相比,机器人手术方法可提供更大的视角。该患者成功耐受了机器人手术,随访期间未报告任何患者症状。本病例涉及解剖位置困难的残留胆囊结石,并证实机器人腹部手术方法是一种安全、微创的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/085d499bfe07/cureus-0016-00000064618-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/ba88512f0c24/cureus-0016-00000064618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/5979765be182/cureus-0016-00000064618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/018bdf6b52b3/cureus-0016-00000064618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/085d499bfe07/cureus-0016-00000064618-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/ba88512f0c24/cureus-0016-00000064618-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/5979765be182/cureus-0016-00000064618-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/018bdf6b52b3/cureus-0016-00000064618-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b9a/11326770/085d499bfe07/cureus-0016-00000064618-i04.jpg

相似文献

1
Robotic Removal of Spilled Gallstones After Laparoscopic Cholecystectomy: Resolving Chronic Abdominal Pain Using New Technology.腹腔镜胆囊切除术后机器人辅助清除溢出的胆结石:利用新技术解决慢性腹痛
Cureus. 2024 Jul 15;16(7):e64618. doi: 10.7759/cureus.64618. eCollection 2024 Jul.
2
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World J Gastrointest Surg. 2024 Feb 27;16(2):622-627. doi: 10.4240/wjgs.v16.i2.622.

本文引用的文献

1
Consequences of the spilled gallstones during laparoscopic cholecystectomy: a systematic review.腹腔镜胆囊切除术中胆囊结石溢出的后果:系统评价。
World J Emerg Surg. 2022 Nov 2;17(1):57. doi: 10.1186/s13017-022-00456-6.
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MRI evaluation of bile duct injuries and other post-cholecystectomy complications.MRI 评估胆管损伤和其他胆囊切除术后并发症。
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Thoracic complications from retained abdominal gallstones after laparoscopic cholecystectomy: is it always mandatory a thoracic approach?
腹腔镜胆囊切除术后遗留的腹内胆囊结石致胸部并发症:是否必须采用胸部入路?
Ulus Travma Acil Cerrahi Derg. 2021 Jan;27(1):95-103. doi: 10.14744/tjtes.2020.07280.
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Consequences of Lost Gallstones During Laparoscopic Cholecystectomy: A Review Article.腹腔镜胆囊切除术中胆囊结石丢失的后果:一篇综述文章。
Surg Laparosc Endosc Percutan Tech. 2016 Jun;26(3):183-92. doi: 10.1097/SLE.0000000000000274.
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Retained abdominal gallstones after laparoscopic cholecystectomy: a systematic review.腹腔镜胆囊切除术后残留腹腔胆结石:一项系统评价
Surg Laparosc Endosc Percutan Tech. 2015 Apr;25(2):97-9. doi: 10.1097/SLE.0000000000000105.
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Dropped gallstones: spectrum of imaging findings, complications and diagnostic pitfalls.掉落的胆囊结石:影像学表现、并发症及诊断陷阱的谱。
Br J Radiol. 2013 Aug;86(1028):20120588. doi: 10.1259/bjr.20120588. Epub 2013 Jun 7.
7
Out of sight but kept in mind: complications and imitations of dropped gallstones.虽不见踪影,但仍需铭记:掉落的胆囊结石的并发症和类似物。
AJR Am J Roentgenol. 2013 Jun;200(6):1244-53. doi: 10.2214/AJR.12.9430.
8
Complications due to gallstones lost during laparoscopic cholecystectomy.腹腔镜胆囊切除术中丢失胆结石所致并发症。
Surg Endosc. 2002 Aug;16(8):1226-32. doi: 10.1007/s00464-001-9173-8. Epub 2002 May 3.