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- Bilioma After Laparoscopic Cholecystectomy:A Case Report
- 腹腔鏡膽囊切除術
- 腹腔鏡膽囊切除術之膽道相關併發症
- Management of Biliary Calculus Diseases
- The Role of Laparoscopic Cholecystectomy in Treating Gangrenous Cholecystitis
- 非充氣式腹腔鏡膽囊切除術
- Symptomless Cyst Formation at the Location of a Biloma Resolved with a Single Aspiration: Case Report
- Effect of Oral Clonidine Premedication on Perioperative Hemodynamic Response and Postoperative Analgesic Requirement for Patients Undergoing Laparoscopic Cholecystectomy
- 以腹腔鏡膽囊切除術治療急性膽囊炎
- 腹腔鏡膽囊切除術在膽囊息肉處理上的角色
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題名 | Bilioma After Laparoscopic Cholecystectomy:A Case Report=腹腔鏡膽囊切除術後膽汁瘤:一病例報告 |
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作者 | 曾志恩; 石臺平; 黃志仁; 何霖; Tzeng, Jeh-en; Shih, Tai-ping; Huang, Chih-jen; Ho, William L.; |
期刊 | 中華醫學雜誌 |
出版日期 | 19971200 |
卷期 | 60:6 1997.12[民86.12] |
頁次 | 頁313-315 |
分類號 | 416.247 |
語文 | eng |
關鍵詞 | 膽汁漏出; 膽汁瘤; 腹腔鏡膽囊切除術; Bile leakage; Bilioma; Laparoscopic cholecystectomy; |
中文摘要 | 一例68歲女性,因膽結石接受腹腔鏡膽囊切除術。一年後,在肚臍左側3公分處,發現一4x2.5x2公分腫瘤。在腹內腫瘤之臆斷下,病人接受腫瘤切除手術,此腫瘤經病理診斷為膽汁瘤。 膽汁瘤乃是膽道系統被破壞後,併膽汁漏出,此漏出之膽汁經人體異物反應,而將其包被形成。此病的文獻報告不多,而膽道系統被破壞的機制有:肝外傷、肝包蟲病感染、腹腔鏡膽囊切除術和膽結石之體外震波碎石術。膽汁瘤的診斷,除靠超音波術、電腦斷層檢查扣肝膽連續閃爍攝影術外,醫師的警覺性也是必需的。本症一般是可以引流治療,但本例之膽汁瘤位於腹壁下而直接切除,術後良好。 |
英文摘要 | A 68-year-old female, suffering from gallstones, received a laparoscopic cholecystectomy. One year later, a 4x2.5x2 cm mass was noted 3 cm left of the umbilicus. Under the impression of intraabdominal tumor, the tumor was excised and a bilioma was pathologically proved. Bilioma is an encapsulated bile fluid mass, formed after damage of the biliary tree and bile leakage. Only a few cases have been reported, but never in the periumbilical area according to review of the literature. In addition to sonography, computed tomography, and cholescintigraphy, the physicians' alertness is essential for this diagnosis. In general, the treatment of choice is percutaneous drainage. But, in this case, the bilioma of periumbilical abdominal wall was excised with good prognosis after a six-month follow-up. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。