新发大元素胆总管结石1例

Q3 Pharmacology, Toxicology and Pharmaceutics

Biomedical and Pharmacology Journal Pub Date : 2023-09-30 DOI:10.13005/bpj/2766

Adrián Cano- Padilla, Jesús Estrada- Hernández, Gilberto Flores- Vargas, Nicolás Padilla- Raygoza

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引用次数: 0

摘要

患者为女性，73岁，10年前有腹腔镜胆囊切除术史，诊断为新发胆总管结石。医务人员进行了两次内窥镜逆行胆管胰脏造影(ERCP)。第一个手术的结果是未解决的胆总管结石，内镜下括约肌切开术，肝内和肝外胆管扩张，塑料胆管假体置入。在第二例中，结果显示一个壶腹的水与假体在原位，很容易被移除。此外，它试图用一个篮子来捕获石头，但由于尺寸(>45毫米)而没有成功。放置tannenbaum型胆道支架以保证胆道引流。之后，患者被安排进行腹腔镜胆管探查，并在手术过程中进行解剖，直到发现扩张的胆总管约3cm。用腹腔镜钳取出结石。行胆总管修补术，并放置引流管。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Large Element de novo Choledocholithiasis: A case report

The case is a female 73 years old, with a history of laparoscopic cholecystectomy ten years ago, and is diagnosed with de novo choledocholithiasis. The medical staff conducted two Endoscopic Retrograde CholangioPancreatographies (ERCP). The results of the first one were unresolved choledocholithiasis, endoscopic sphincterotomy, intra and extrahepatic bile duct dilation, and plastic biliary prosthesis placement. In the second one, the results showed an ampulla of Vater with endoprosthesis in situ, which was removed easily. Besides, it was tried to trap the stone with a basket, without success due to dimensions (>45 mm). A Tannenbaum-type biliary stent was placed to ensure biliary drainage. After, the patient was scheduled for a laparoscopic bile duct exploration, and dissection was performed during the surgical procedure until locating a dilated common bile duct of approximately 3 cm. The stone was removed with laparoscopic forceps. Choledochorrhaphy was performed, and a drain was placed.

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来源期刊

Biomedical and Pharmacology Journal Pharmacology, Toxicology and Pharmaceutics-Pharmacology

CiteScore

1.20

自引率

0.00%

发文量

189

期刊介绍： Biomedical and Pharmacology Journal (BPJ) is an International Peer Reviewed Research Journal in English language whose frequency is quarterly. The journal seeks to promote research, exchange of scientific information, consideration of regulatory mechanisms that affect drug development and utilization, and medical education. BPJ take much care in making your article published without much delay with your kind cooperation and support. Research papers, review articles, short communications, news are welcomed provided they demonstrate new findings of relevance to the field as a whole. All articles will be peer-reviewed and will find a place in Biomedical and Pharmacology Journal based on the merit and innovativeness of the research work. BPJ hopes that Researchers, Research scholars, Academician, Industrialists etc. would make use of this journal for the development of science and technology. Topics of interest include, but are not limited to: Biochemistry Genetics Microbiology and virology Molecular, cellular and cancer biology Neurosciences Pharmacology Drug Discovery Cardiovascular Pharmacology Neuropharmacology Molecular & Cellular Mechanisms Immunology & Inflammation Pharmacy.