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[腹腔镜胆囊切除术后的严重并发症:从过去到现在的经验教训]

[Severe complications after cholecystectomy by celioscopy: lessons from yesterday and today].

作者信息

Evrard S, Dondelinger R F, Mutter D, Vix M, Mendoza-Burgos L, Marescaux J

机构信息

Clinique Chirurgicale A, Les Hôpitaux Universitaires de Strasbourg.

出版信息

J Chir (Paris). 1993 May;130(5):215-7.

PMID:8345017
Abstract

The case of a series of grave complications after a laparoscopic cholecystectomy is reported: a common bile duct section diagnosed rather late, hemoperitoneum, inappropriate common bile duct reconstruction and late anastomic leakage, stenosis of an hepatico-jejunal anastomosis, haemorrhage through the external biliary drainage and iterating sepsis. The final outcome was good. The stenotic hepatico-jejunal anastomosis was dilated by a Gianturco self-expanding prosthesis percutaneously placed. As an evidence, this alternative treatment is only exceptional, the treatment of choice for postsurgical benign strictures being surgical repair.

摘要

报告了一例腹腔镜胆囊切除术后出现一系列严重并发症的病例

胆总管部分切除诊断较晚、腹腔积血、胆总管重建不当及晚期吻合口漏、肝空肠吻合口狭窄、经外引流管出血及反复败血症。最终结局良好。经皮置入Gianturco自膨式假体扩张狭窄的肝空肠吻合口。作为证据,这种替代治疗仅为特例,术后良性狭窄的首选治疗方法是手术修复。

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