Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons  2010;13(2):157-159

Surgical Clip Moved into the Extrahepatic Bile Duct after Laparoscopic Hepatectomy.

Jong Riul LEE 1 ; Jeong Ho HAN ; Sun Jeong CHOI

Affiliations

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Keywords

Clip; Laparoscopic hepatectomy; Laparoscopic cholecystectomy

Country

Republic of Korea

Language

Korean

Abstract

In the case of using surgical clips for division of the cystic duct during laparoscopiccholecystectomy, surgical clip migration into the common bile duct is known to be an extremely rare complication. However, its mechanism is currently unclear. The incidence of performing laparoscopic hepatectomy has significantly increased in the laparoscopic center of hospitals. Accordingly, the complications associated with using clips in laparoscopic cholecystectomy have increase as well. A 49 year-old female patient underwent laparoscopic left hepatectomy due to left intrahepatic duct stones with cholangitis. We report here on a case of a clip that migrated into the common bile duct and the duct had bile stones. We also review the relevant literature.