| 腹腔镜右半肝切除联合胆道探查取石T管引流治疗肝内外胆管结石1例 |
| |
| 引用本文： | 崔龙久,叶研硕,冉荣征,范明明,尤天庚,谭蔚锋.腹腔镜右半肝切除联合胆道探查取石T管引流治疗肝内外胆管结石1例[J].第二军医大学学报,2017,38(12):1610-1612. |
| |
| 作者姓名： | 崔龙久 叶研硕 冉荣征 范明明 尤天庚 谭蔚锋 |
| |
| 作者单位： | 1. 第二军医大学东方肝胆外科医院腔镜外科,上海,200438;2. 吉林大学中日联谊医院肝胆胰外科,长春,130033 |
| |
| 摘 要： | 1 病例资料 患者,女性,21岁,因“内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography,ERCP)术后5个月、右上腹反复疼痛1个月”于2017年4月21日入院.体格检查:皮肤巩膜无黄染,浅表淋巴结未触及肿大.腹平坦,未见胃肠型及蠕动波,朱见腹壁静脉曲张;右上腹压痛,无反跳痛及肌紧张,肝脾肋下未触及.Murphy征阴性,腹部叩诊鼓音,肝区叩痛阴性,移动性浊音阴性,肠鸣音约3～4次/min.磁共振胆胰管造影(magnetic resonance cholangiopancreatography,MRCP)示:右肝内胆管扩张伴结石,胆总管多发结石,可见低信号影(图1A).肝脏增强CT 扫描示:沿右肝管走行区片状稍低密度影,增强后轻度持续强化,延迟期呈等密度;右肝内胆管扩张,胆管内未见异常密度影(图1B).其余各项实验室检查均末见明显异常.结合病史、体格检查及辅助检查,诊断为肝内外胆管结石、胆管炎、ERCP术后,计划行腹腔镜右半肝切除+胆道探查取石+T管引流术.
|
| 关 键 词： | 胆石症 右半肝切除 腹腔镜肝切除 胆管人路 人肝血流控制 |
| 收稿时间： | 2017/8/31 0:00:00 |
| 修稿时间： | 2017/11/1 0:00:00 |
Laparoscopic right hepatectomy combined with common bile duct exploration and T-tube drainage in treatment of intrahepatic and extrahepatic bile duct stones: a case report |
| |
| CUI Long-jiu,YE Yan-shuo,RAN Rong-zheng,FAN Ming-ming,YOU Tian-geng and TAN Wei-feng.Laparoscopic right hepatectomy combined with common bile duct exploration and T-tube drainage in treatment of intrahepatic and extrahepatic bile duct stones: a case report[J].Academic Journal of Second Military Medical University,2017,38(12):1610-1612. |
| |
| Authors: | CUI Long-jiu YE Yan-shuo RAN Rong-zheng FAN Ming-ming YOU Tian-geng and TAN Wei-feng |
| |
| Institution: | 1. Department of Laparoscopic Surgery, Eastern Hepatobilliary Surgery Hospital, Second Military Medical University, Shanghai 200438, China;2. Department of Hepatobiliary & Pancreatic Surgery, China-Japan Union Hospital, Jilin University, Changchun 130033, Jilin, China*Corresponding author |
| |
| Abstract: | @@ |
| |
| Keywords: | cholelithiasis right hepatectomy laparoscopic liver resection biliary duct guide approaching inflow control |
| 本文献已被 万方数据 等数据库收录！ |
| 点击此处可从《第二军医大学学报》浏览原始摘要信息 |
| 点击此处可从《第二军医大学学报》下载免费的PDF全文 |
|
