机械故障后腹腔镜胆总管探查及取石篮。

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-11-29 DOI:10.4103/jmas.jmas_177_24

Lawrence Nip, Mark Lynch, Zinu Philipose, Serena Ceraldi

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引用次数: 0

摘要

摘要：内镜逆行胆管造影中机械碎石篮撞击是一种罕见但严重的并发症。我们描述了一个新的情况下，碎石篮检索辅助激光碎裂。这名87岁的男性患者在尝试内窥镜机械碎石术导致石筐复体在胆总管内受到影响后，接受了紧急腹腔镜胆囊次全切除术、胆总管探查和激光碎石术。在缺乏内窥镜抢救技术的情况下，在外科专业知识允许的情况下，腹腔镜下的CBD探查是一种有效和安全的选择。

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Laparoscopic common bile duct exploration and retrieval of endoscopic lithotripsy basket after mechanical failure.

Abstract: Impaction of a mechanical lithotripsy basket during endoscopic retrograde cholangiopancreatography is a rare but serious complication resulting from technical failure. We describe a novel case of lithotripsy basket retrieval aided by laser fragmentation. This 87-year-old male underwent an emergency laparoscopic subtotal cholecystectomy, common bile duct (CBD) exploration and laser lithotripsy after attempts at endoscopic mechanical lithotripsy caused a stone-basket complex to become impacted within the CBD. In the absence of endoscopic salvage techniques, laparoscopic CBD exploration is a valid and safe option where surgical expertise permits.

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来源期刊

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.