담도-장관루의 환자에서 복강경을 이용한 수술적 교정
Laparoscopic Repair of Biliary-Enteric Fistula - Reports of 3 Cases
소속 상세정보
민석기/Seog Ki Min
한호성/김유진/김영우/최용만/Ho Seong Han/Eu Gene Kim/Young Woo Kim/Yong Man Choi
KMID : 0978820020050010020
Abstract
Purpose: The laparoscopic surgery has become the standard treatment for the benign gallbadder disease. However, a biliary-enteric fistula has been one of the reasons for conversion from laparoscopic cholecystectomy(LC) to open surgery or
has
been
one of the contraindication for LC. We report three consecutive cases that were treated with the laparocopic surgery for the repair of cholecysto-enteric or choledocho-enteric fistula.
Method: Two cases were diagnosed preoperatively, and the other case was diagnosed intraoperatively. First patient have a cholecystoduodenal fistula with the common bile duct stone. Second patient have the cholecystocolic fistula and the
choledochoduodenal fistula with the common bile duct stone, and third patient was a cholecystogastric fistula. The fistulae were reparied with an intracorporal suturing or Endoscopic linear stapling device, laparoscopically.
Results: The age of the patients wre 60, 63, and 66 year old. The staring day of the diet was postoperative 2nd, 3rd, and 5th day, respectively. All the patients had good postoperative course without any postoperative complication, and
were
discharged at the postoperative 4th, 6th and 10th day, each.
Conclusions: The biliary-enteric fistula has been considered to be a contraindication of laparoscopic surgery. We successfully treated biliary-enteric fistula with laparoscopic repari without complication. The laparoscopic surgery may be
an
effective method for the treatment of biliary-enteric fistula.
키워드
복강경수술; 담도 장관루; Laparoscpic surgery; biliary-enteric fistula;
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