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首页> 外文期刊>Surgical Endoscopy >Gallbladder duplication successfully removed laparoscopically using endoscopic nasobiliary tube.
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Gallbladder duplication successfully removed laparoscopically using endoscopic nasobiliary tube.

机译:使用内窥镜鼻胆管镜成功地腹腔镜切除胆囊。

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摘要

Laparoscopic cholecystectomy is sometimes difficult due to complicated biliary anatomy including gallbladder duplication, a rare anomaly of the biliary tract. We report a case of duplicated gallbladder successfully removed under laparoscopy using endoscopic nasobiliary (ENB) tube cholangiography. A 61-year-old Japanese woman presented us with right upper abdominal pain. Ultrasonography revealed two cystic structures lying in the gallbladder fossa, and the upper one contained multiple stones. Endoscopic retrograde cholangiography showed two gallbladders, each of which has a cystic duct draining into the common bile duct separately. Laparoscopic cholecystectomy was planned under the preoperative diagnosis of double gallbladder with gallstones in the accessory gallbladder. The ENB tube was inserted just before the operation. Laparoscopic removal of the double gallbladder was successfully done using the ENB tube to identify the biliary tree anatomy and to close the stump of the cystic duct. In this communication, we would like to stress the usefulness of the ENB tube at the time of laparoscopic biliary surgery in patients with biliary anomalies including gallbladder duplication.
机译:有时由于复杂的胆道解剖结构(包括胆囊重复)而很难进行腹腔镜胆囊切除术,这是胆道罕见的异常。我们报告了使用内窥镜鼻胆管(ENB)管胆管造影术在腹腔镜下成功清除胆囊重复的病例。一位61岁的日本妇女给我们带来了右上腹痛。超声检查发现胆囊窝中有两个囊性结构,上部有多个结石。内镜逆行胆管造影显示有两个胆囊,每个胆囊都有一个胆囊管分别排入胆总管。腹腔镜胆囊切除术计划在术前诊断为双胆囊并伴有胆囊结石的情况下进行。在手术前已插入ENB管。使用ENB管成功完成腹腔镜切除双胆囊,以识别胆道树解剖结构并闭合胆囊管残端。在此通讯中,我们想强调指出,在胆囊异常(包括胆囊重复)的患者中,在腹腔镜胆道手术时使用ENB管是有用的。

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