腹腔镜治疗胆囊重复畸形。主张切除两个胆囊。
Laparoscopic treatment of gallbladder duplication. A plea for removal of both gallbladders.
作者信息
Gigot J, Van Beers B, Goncette L, Etienne J, Collard A, Jadoul P, Therasse A, Otte J B, Kestens P
机构信息
Department of Digestive Surgery, Saint-Luc University Hospital, Louvain Medical School, Hippocrate Avenue, 10, B-1200 Brussels, Belgium.
出版信息
Surg Endosc. 1997 May;11(5):479-82. doi: 10.1007/s004649900396.
BACKGROUND
Gallbladder duplication is a rare congenital condition, which can now be detected preoperatively by imaging studies.
METHODS
We report a case of duplicated gallbladder with symptomatic unilobar gallstones. Appropriate biliary workup (ultrasound, oral cholecystography, and intravenous cholangiography) allowed a correct preoperative diagnosis.
RESULTS
Laparoscopic treatment included selective removal of the diseased accessory gallbladder. However, postoperative acute cholecystitis and symptomatic gallstone occurred in the remaining main gallbladder, and laparoscopic reintervention was required 27 months later.
CONCLUSIONS
This case illustrates the need for complete removal of both gallbladders during initial surgery. Precise intraoperative recognition of vascular and biliary anatomy-including abnormalities-is highlighted to avoid mistakes during surgery.
背景
胆囊重复是一种罕见的先天性疾病，现在可以通过影像学检查在术前检测出来。
方法
我们报告一例伴有症状性单叶胆囊结石的重复胆囊病例。适当的胆道检查（超声、口服胆囊造影和静脉胆管造影）使术前得以正确诊断。
结果
腹腔镜治疗包括选择性切除患病的副胆囊。然而，剩余的主胆囊术后发生了急性胆囊炎和有症状的胆结石，27个月后需要进行腹腔镜再次干预。
结论
该病例表明在初次手术时需要完整切除两个胆囊。强调术中精确识别血管和胆道解剖结构，包括异常情况，以避免手术中出现失误。
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