胃切除後の腹腔鏡下胆嚢摘出術で結石の遺残を認め腹腔鏡下総胆管切石術を施行した１例

• 中川 国利

  仙台赤十字病院外科

• 鈴木 幸正

  仙台赤十字病院外科

• 桃野 哲

  仙台赤十字病院外科

書誌事項

タイトル別名

• A Case of Laparoscopic Choledocholithotomy in a Patient with Previous Laparoscopic Cholecystectomy after Subtotal Gastrectomy.

抄録

A case of laparoscopic choledocholithotomy in a patient with previous laparoscopic cholecystectomy after subtotal gastrectomy is reported. A 71-year-old man who had undergone subtotal gastrectomy with Billroth II reconstruction for duodenal ulcer was admitted due to acute cholecystitis. We conducted laparoscopic cholecystectomy after setting up the first trocar on near the right side of the navel with open laparotomy, another 3 trocars on the right upper quadrant of the abdomen under laparoscopic observation avoiding peritoneal adhesion. After trocar placement, adhesiolysis and Calot's triangle dissection were done. Cholecystectomy was completed by laparoscopy and the postoperative course was good. Eleven months after surgery, the patient was admitted with jaundice due to choledocholithiasis. We conducted laparoscopic choledocholithotomy with T-tube drainage and the patient had an uneventful recovery. Laparoscopic choledocholithotomy is thus feasible and effective in patients with previous laparoscopic cholecystectomy in ameliorating postoperative pain and shortening the hospital stay.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 63 (1), 161-165, 2002

  日本臨床外科学会

キーワード

• 腹腔鏡下胆嚢摘出術
• 腹腔鏡下総胆管切石術
• 上腹部開腹既往

詳細情報

• CRID: 1390001204845940608
• NII論文ID: 130003602725
• NII論文ID: 10008393038
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.63.161
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/63/1/63_1_161/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2002132967
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可