Sato T, Denno R, Yuyama Y, Matsuura T, Kanisawa Y, Hirata K
First Department of Surgery, Sapporo Medical University, School of Medicine, Japan.
Surg Today. 1994;24(4):360-2. doi: 10.1007/BF02348568.
We present herein the case of a woman who developed unexpected complications following a laparoscopic cholecystectomy. The clinical manifestations were unique in that symptoms of obstructive jaundice were in fact caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistent cholangitis. While the overall safety of this new procedure appears to be superior to that of open cholecystectomy, the risk of bile duct injury seems more likely. This case stresses the need for caution by surgeons, and emphasizes the necessity for careful surveillance and strict follow-up to ensure the safety of this procedure.
我们在此介绍一位女性患者的病例，该患者在腹腔镜胆囊切除术后出现了意外并发症。临床表现独特，梗阻性黄疸症状实际上是由迁移至胆总管的内镜夹引起的，由此导致的胆总管十二指肠瘘表现为持续性胆管炎。虽然这种新手术的总体安全性似乎优于开腹胆囊切除术，但胆管损伤的风险似乎更高。该病例强调了外科医生需要谨慎行事，并强调了仔细监测和严格随访以确保该手术安全性的必要性。
