CAJ | 학술논문

目的：了解异位胆囊的术前检查、治疗对策及最新进展，探讨不同胆囊异位情况下的术式选择及术中注意事项。方法回顾分析我院2012年1月-2014年1月收治的异位胆囊5例的临床资料，重点讨论术前检查、围手术期处理、手术原则及技巧。结果本组5例经B超及上腹部CT平扫检查均明确诊断为异位胆囊，其中胆囊异位于肝内2例，异位于肝膈间、肝后、左位胆囊各1例，行LC术3例，右进胸胆囊切除术、开腹胆囊切除术各1例。术后均痊愈出院，无术中、术后并发症发生。结论接诊可疑异位胆囊者术前行B超、上腹部CT平扫及磁共振胰胆管造影( MRCP)对明确诊断、术式选择及有效避免手术并发症有重要作用。
목적：료해이위담낭적술전검사、치료대책급최신진전，탐토불동담낭이위정황하적술식선택급술중주의사항。방법회고분석아원2012년1월-2014년1월수치적이위담낭5례적림상자료，중점토론술전검사、위수술기처리、수술원칙급기교。결과본조5례경B초급상복부CT평소검사균명학진단위이위담낭，기중담낭이위우간내2례，이위우간격간、간후、좌위담낭각1례，행LC술3례，우진흉담낭절제술、개복담낭절제술각1례。술후균전유출원，무술중、술후병발증발생。결론접진가의이위담낭자술전행B초、상복부CT평소급자공진이담관조영( MRCP)대명학진단、술식선택급유효피면수술병발증유중요작용。
Objective To understand the latest progress of the treatment and preoperative examination of ectopic gall-bladder, and investigate the operative selection and considerations in different types of ectopia. Methods Clinical data of five cases of ectopic gallbladder admitted to our hospital from January 2012 to January 2014 was retrospectively analyzed, and pre-operative examinations, operative management, operation principles and skills were mainly discussed. Results The five pa-tients were all diagnosed as ectopic gallbladder by B-ultrasound and abdominal CT scan. There were two cases of liver-in, one case between the liver and the diaphragm, one case in the left position, and one case at backside of the liver. There were three cases treated by LC operation, one case by laparotomy, and one case by the cholecystectomy through right thoracic incision. No complications were found during or after operation and all patients were cured. Conclusion It's important for patients with suspected ectopic gallbladder to take examinations of B-ultrasound, magnetic resonance cholangiopancreatography ( MRCP) and abdominal CT scan for diagnosis, choice of the operation and avoiding the operation complications.