腹腔鏡下胆嚢摘出術後にクリップを核とした総胆管結石の1例

• 佐島 秀一

  筑後市立病院外科

• 吉田 正

  筑後市立病院外科

• 松尾 英生

  筑後市立病院外科

書誌事項

タイトル別名

• A case of surgical clip as a nidus for a common bile duct stone after laparoscopic cholecystectomy

抄録

We experienced a case of surgical clip within a common bile duct stone after laparoscopic cholecystectomy (LC). The patient was an 81 year-old-woman with cholecystolithiasis, who underwent the LC in another hospital in 1995. The operation was converted to an open cholecys tectomy to stop bleeding In June 1998 the patient suffered high fever and vomiting. Computed tomography demonstrated one stone within surgical clip in the common bile duct. Surgery was performed in June 29,1998. The stone was a pigmented gallstone with a nidus comprised of metal clip used in the LC. We performed choledocholithotomy and T-tube drainage and the patient had an uneventful recovery. Surgical clips have previously been reported to form choledochal stone. In this case the clip were located at the end of the cystic duct near the juncture with the common bile duct. Surgeons must, exercise caution in the use of surgical clip and electric cauterization to avoid damage to common bile duct, which can result in local inflammation around the common bile duct.

収録刊行物

• Tando

  Tando 15 (1), 64-68, 2001

  Japan Biliary Association

キーワード

• 腹腔鏡下胆嚢摘出術
• 外科用クリップ

詳細情報

• CRID: 1390001205465832960
• NII論文ID: 130004675637
• DOI: 10.11210/tando1987.15.1_64
• ISSN: 09140077
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可