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Hem-o-lok clip migration to the common bile duct after laparoscopic common bile duct exploration:A case report

World Journal of Clinical Cases 2022年第19期10卷 6548-6554页

作者： Da-Ren Liu Jin-Hong Wu Jiang-Tao Shi Huan-Bing Zhu Chao Li Department of Hepatobiliary Surgery The Second Affiliated HospitalZhejiang University School of MedicineHangzhou 310009Zhejiang ProvinceChina

BACKGROUND Laparoscopic cholecystectomy(LC)and laparoscopic common bile duct exploration(LCBDE)has been widely used for management of gallbladder and common bile duct(CBD)***-operative clip migration is a rare complication of laparoscopic biliary surgery,which can serve as a nidus for stone formation and cause recurrent *** SUMMARY A 59-year-old female was admitted to hospital because of fever and acute right upper abdominal *** has a history of LC and had a LCBDE surgery 2 mo *** examination revealed tenderness in the upper quadrant of right *** tomography scan demonstrated a high-density shadow at the distal CBD,which was considered as migrated *** speculation was confirmed by endoscopic retrograde cholangiopancreatography examination,and two displaced Hem-o-lok clips were removed with a stone *** fever or abdominal pain presented after the *** addition to the case report,literature regarding surgical clip migration after laparoscopic biliary surgery was reviewed and *** Incidence of postoperative clip migration may be reduced by using clips properly and correctly;however,new methods should be explored to occlude cystic duct and *** a patient with a past history of LC or LCBDE presents with features of sepsis and recurrent upper quadrant pain,clip migration must be considered as one of the differential diagnosis.

关键词： Laparoscopic cholecystectomy Laparoscopic common bile duct exploration Surgical clip postoperative migration Case report

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