Single-Incision Laparoscopic Cholecystectomy after Endoscopic Nasogallbladder Drainage: A Case Report.

Single-Incision Laparoscopic Cholecystectomy after Endoscopic Nasogallbladder Drainage: A Case Report.
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DOI:
10.1159/000430951
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发表时间:
2015
期刊:
Medical principles and practice : international journal of the Kuwait University, Health Science Centre
影响因子:
--
通讯作者:
Nagino M
Nagino M
中科院分区:
其他
文献类型:
--
作者:
Igami T;Ebata T;Yokoyama Y;Sugawara G;Mizuno T;Yamaguchi J;Nagino M

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报告1例胆囊炎患者行单切口腹腔镜胆囊切除术(SILC),需要内镜下鼻胆囊引流(ENGBD)。一名75岁男性被诊断为中度急性胆囊炎,并因脑梗死病史接受抗血小板治疗。进行ENGBD作为其胆囊炎的初始治疗。从胆囊炎中恢复后,使用锡尔斯Port和额外的镊子进行SILC。由于Rouviere沟和Calot三角都不能用有利的腹腔镜视图识别,因此选择了眼底优先手术。患者术后病程顺利,术后第3天出院。在该病例中,患者患有需要ENGBD的胆囊炎,使用锡尔斯Port与额外的镊子和眼底优先手术的组合成功进行了SILC。
To report a single-incision laparoscopic cholecystectomy (SILC) for a patient with cholecystitis that required endoscopic nasogallbladder drainage (ENGBD). A 75-year-old man was diagnosed with moderate acute cholecystitis and underwent antiplatelet therapy for a history of brain infarction. An ENGBD was performed as an initial treatment for his cholecystitis. After recovery from the cholecystitis, a SILC was performed using a SILS Port with an additional forceps. Because neither Rouviere's sulcus nor Calot's triangle could be identified with a favorable laparoscopic view, the fundus-first procedure was selected. The patient's postoperative course was uneventful, and he was discharged from the hospital on day 3 after surgery. In this case of a patient who had cholecystitis that required ENGBD, a SILC was successful performed using a combination of SILS Port with additional forceps and fundus-first procedure.
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