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[胆囊结肠瘘:腹腔镜治疗]

[Cholecysto-colic fistula: laparoscopic treatment].

作者信息

Pianalto S, Rossi M, Battaglia G, Pizzato D, Ancona E

机构信息

Istituto di Chirurgia Generale 2, Università degli Studi di Padova.

出版信息

Ann Ital Chir. 1997 Mar-Apr;68(2):231-3; discussion 233-4.

PMID:9290015
Abstract

Cholecystocolic fistula is an unusual complication of biliary tract disease and it may defeat laparoscopic treatment. We recently was a patient who, while undergoing laparoscopic cholecystectomy, was found to have a fistula between the gallbladder and the transverse colon. The fistula was transected with a 3 cm endoscopic linear stapling device and uneventful laparoscopic cholecystectomy was performed. This report shows that, with increasing experience, no absolute contraindications exist to starting laparoscopic cholecystectomy by introducing the laparoscope.

摘要

胆囊结肠瘘是胆道疾病的一种罕见并发症,可能会使腹腔镜治疗失败。我们最近遇到一位患者,在进行腹腔镜胆囊切除术时,发现胆囊与横结肠之间存在瘘管。使用3厘米的内镜线性缝合装置切断瘘管,并顺利完成了腹腔镜胆囊切除术。本报告表明,随着经验的增加,在引入腹腔镜开始进行腹腔镜胆囊切除术时不存在绝对禁忌证。

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