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A severe case of hemobilia and biliary fistula following an open urgent cholecystectomy

机译:开腹紧急胆囊切除术后重度胆道瘘和胆道瘘

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摘要

BackgroundCholecystectomy has been the treatment of choice for symptomatic gallstones, but remains the greatest source of post-operative biliary injuries. Laparoscopic approach has been recently preferred because of short hospitalisation and low morbidity but has an higher incidence of biliary leakages and bile duct injuries than open one due to a technical error or misinterpretation of the anatomy. Even open cholecystectomy presents a small number of complications especially if it was performed in urgency. Hemobilia is one of the most common cause of upper gastrointestinal bleeding from the biliary ducts into the gastrointestinal tract due to trauma, advent of invasive procedures such as percutaneous liver biopsy, transhepatic cholangiography, and biliary drainage.
机译:背景胆囊切除术一直是有症状胆结石的首选治疗方法,但仍是术后胆道损伤的最大来源。由于住院时间短和发病率低,近来腹腔镜手术已成为首选,但由于技术上的错误或对解剖结构的误解,与开放手术相比,胆漏和胆管损伤的发生率要高得多。甚至开腹胆囊切除术也会出现少量并发症,特别是如果紧急进行的话。肝胆管外伤是外伤,经皮肝穿刺活检,经肝胆管造影和胆道引流等侵入性手术的出现,是上消化道从胆管进入胃肠道出血的最常见原因之一。

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