Diagnosis and surgical therapy for residual gallbladder in 52 cases
10.3760/cma.j.issn.1007-631X.2014.09.011
- VernacularTitle:残余胆囊52例的外科治疗
- Author:
Baoxing JIA
;
Wei ZHANG
;
Songyang LIU
;
Bai JI
;
Yingchao WANG
;
Yahui LIU
;
Kai LIU
- Publication Type:Journal Article
- Keywords:
Cholecystectomy,laparoscopic;
Reoperation;
Residual gallbladder
- From:
Chinese Journal of General Surgery
2014;29(9):697-699
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis and treatment of residual gallbladder.Methods The diagnosis of residual gallbladder depends on a history of previous cholecystectomy and postoperative existent symptoms suggesting cholecystitis.In this series the diagnosis was finally established by ultrasonography and laparotomy in 52 cases.Results Ten cases received laparoscopic residual cholecystectomy,32 cases underwent residual cholecystectomy,7 cases did residual cholecystectomy plus common bile duct exploration,1 case was treated with residual cholecystectomy,common bile duct exploration and left lateral lobe hepatectomy,1 case with residual cholecystectomy,common bile duct exploration,cholangioenterostomy,1 case by radical resection of residual gallbladder cancer.Conclusions Residual gallbladder is a secondary disease,diagnosis is not difficult,surgery has certain difficulty,the application of intraoperative ultrasound and choledochoscope has great value.
