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二人同行:一例罕见先天性重复胆囊的诊断与手术挑战病例报告

Two's Company: A Case Report Presenting Diagnostic and Surgical Challenges of a Rare Congenital Duplicated Gallbladder.

作者信息

Batista Joshua D, Liepshutz Andrew, Merdjane Brooke A, Khosravani Nima, Rabaza Jorge

机构信息

General Surgery, Baptist Hospital of Miami, Miami, USA.

General Surgery, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.

出版信息

Cureus. 2025 Jun 2;17(6):e85241. doi: 10.7759/cureus.85241. eCollection 2025 Jun.

DOI:10.7759/cureus.85241
PMID:40605906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12221107/
Abstract

Duplicated gallbladders are a rare congenital anomaly. Most cases are asymptomatic, but duplicated gallbladders can present significant diagnostic and surgical challenges, particularly due to the risk of bile duct injury or retained stones if not recognized preoperatively. Advanced imaging modalities such as ultrasonography, magnetic resonance cholangiopancreatography, and intraoperative cholangiography are often required for accurate diagnosis, though variability in anatomical presentation complicates preoperative identification. Clinical vigilance is therefore essential, especially in atypical biliary presentations. We present the case of a 56-year-old male patient with a duplicated gallbladder who successfully underwent robotic-assisted cholecystectomy. The case report adheres to the CARE (CAse REport) guidelines to ensure transparency and completeness, detailing the clinical history, diagnostic approach, surgical management, and outcomes.

摘要

重复胆囊是一种罕见的先天性异常。大多数病例无症状,但重复胆囊可能带来重大的诊断和手术挑战,特别是如果术前未被识别,存在胆管损伤或结石残留的风险。准确诊断通常需要先进的影像学检查手段,如超声、磁共振胰胆管造影和术中胆管造影,不过解剖结构表现的差异使术前识别变得复杂。因此,临床警惕至关重要,尤其是在非典型胆道表现的情况下。我们报告一例56岁男性重复胆囊患者成功接受机器人辅助胆囊切除术的病例。该病例报告遵循CARE(病例报告)指南,以确保透明度和完整性,详细介绍了临床病史、诊断方法、手术治疗及结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/0116bed7628b/cureus-0017-00000085241-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/10ddbe9779c6/cureus-0017-00000085241-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/62d51b13d370/cureus-0017-00000085241-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/40912937d63f/cureus-0017-00000085241-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/ef47d74fd705/cureus-0017-00000085241-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/0116bed7628b/cureus-0017-00000085241-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/10ddbe9779c6/cureus-0017-00000085241-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/62d51b13d370/cureus-0017-00000085241-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/40912937d63f/cureus-0017-00000085241-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/ef47d74fd705/cureus-0017-00000085241-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/215d/12221107/0116bed7628b/cureus-0017-00000085241-i05.jpg

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本文引用的文献

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Robotic compared with laparoscopic cholecystectomy: A National Surgical Quality Improvement Program comparative analysis.机器人辅助与腹腔镜胆囊切除术的比较:一项国家外科质量改进计划的对比分析。
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Optimizing Indocyanine Green Dosage for Near-Infrared Fluorescence Perfusion Assessment in Bowel Anastomosis: A Prospective, Systematic Dose-Ranging Study.优化吲哚菁绿剂量用于肠道吻合术中近红外荧光灌注评估:一项前瞻性、系统性剂量范围研究。
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Laparoscopic versus robotic cholecystectomy: a systematic review with meta-analysis to differentiate between postoperative outcomes and cost-effectiveness.
腹腔镜胆囊切除术与机器人辅助胆囊切除术:一项进行荟萃分析的系统评价,以区分术后结局和成本效益。
Transl Gastroenterol Hepatol. 2024 Jan 12;9:3. doi: 10.21037/tgh-23-56. eCollection 2024.
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A retrospective study of laparoscopic, robotic-assisted, and open emergent/urgent cholecystectomy based on the PINC AI Healthcare Database 2017-2020.基于 PINC AI Healthcare Database 2017-2020 的腹腔镜、机器人辅助和开放性紧急/紧急胆囊切除术的回顾性研究。
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JAMA Surg. 2023 Dec 1;158(12):1303-1310. doi: 10.1001/jamasurg.2023.4389.
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Duplicated gallbladder with double cystic duct: hidden in plain sight.伴有双胆囊管的重复胆囊:隐匿于眼前。
J Surg Case Rep. 2022 Jan 31;2022(1):rjab633. doi: 10.1093/jscr/rjab633. eCollection 2022 Jan.
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Trends in the Adoption of Robotic Surgery for Common Surgical Procedures.常见手术中机器人手术采用趋势。
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Robotic compared with laparoscopic cholecystectomy: A propensity matched analysis.机器人与腹腔镜胆囊切除术的比较:倾向匹配分析。
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