Memon M A, Jenkins H J, Fitzgibbons R J
Department of Surgery, Creighton University School of Medicine, Omaha, Nebraska 68131, USA.
JSLS. 1997 Apr-Jun;1(2):153-7.
Gallbladder perforation during laparoscopic cholecystectomy with spillage of bile and gallstones occurs in up to 40% of patients. Several reports have recently been published describing complications related to these lost gallstones. The purpose of this study was to determine the incidence of this complication in our patients.
A prospectively maintained database of 856 laparoscopic cholecystectomies performed between 1989 and 1996 by a single surgeon was analyzed.
The number of perforations resulting in loss of stones in the abdominal cavity was 16% (165 patients). Of these 165 patients, only a single patient could be identified as having a long-term complication.
Intra-abdominal lost gallstones can produce complications secondary to migration and erosion. It is prudent to make a concerted effort to remove spilled gallstones by every possible means but conversion to laparotomy is not justifiable.
在腹腔镜胆囊切除术中，胆囊穿孔伴胆汁和胆结石溢出的情况在多达40%的患者中出现。最近有几篇报道描述了与这些遗留胆结石相关的并发症。本研究的目的是确定该并发症在我们患者中的发生率。
对一位外科医生在1989年至1996年间进行的856例腹腔镜胆囊切除术的前瞻性维护数据库进行分析。
导致腹腔内结石遗留的穿孔发生率为16%（165例患者）。在这165例患者中，仅1例被确定有长期并发症。
腹腔内遗留胆结石可因迁移和侵蚀而引发并发症。应协同努力通过各种可能手段清除溢出的胆结石，但转为开腹手术并不合理。
