Kraft K, Butters M, Bittner R
Allgemeinchirurgische Abteilung, Marienhospitals Stuttgart.
Chirurg. 1994 Feb;65(2):142-3.
In this case report a persisting fistula between the right flexure of the colon and the abdominal wall was observed after a laparoscopic cholecystectomy. This was caused by a lost gallstone and eventually resulted in the resection of a colon segment. As a consequence of this case it can be said that intra-abdominally lost gallstones--especially larger ones--have to be recovered completely. In risky cholecystectomies we should consider the use of a laparoscopic bag or the installation of additional working cannulas.
在本病例报告中,腹腔镜胆囊切除术后观察到结肠右曲与腹壁之间存在持续瘘管。这是由一颗遗失的胆结石所致,最终导致一段结肠被切除。鉴于此病例,可以说腹腔内遗失的胆结石——尤其是较大的结石——必须完全取出。在有风险的胆囊切除术中,我们应考虑使用腹腔镜袋或增设额外的操作套管。