中国普通外科杂志2016，Vol.25Issue(8)：1139-1144,6.DOI:10.3978/j.issn.1005-6947.2016.08.009
胆囊结肠瘘的临床分析：附14例报告
Clinical analysis of cholecystocolonic fistula：a report of14 cases
李明 1孙维佳 1陆晔斌 1黄耿文 1李宜雄1
作者信息
- 1. 中南大学湘雅医院 胰腺胆道外科，湖南 长沙410008
- 折叠
摘要
Abstract
Objective: To investigate the clinical characteristics of cholecystocolonic ifstula. <br> Methods: hTe clinical, pathological and follow-up data of 14 patients with cholecystocolonic ifstula, who were discovered among 8 235 patients admitted for gallbladder stones over the past 15 years in Xiangya hospital, were retrospectively analyzed. <br> Results: The incidence of cholecystocolonic fistula in cholelithiasis patients was 0.17% (14/8235). Of the 14 patients, 2 cases (14.28%) were correctly diagnosed before operation, the other cases were found during operation; one case had internal ifstula formation between the residual gallbladder and the transverse colon, 2 cases had internal ifstula formation between the body of gallbladder and the transverse colon, the ifstulous opening of the gallbladder in one case was uncertain due to atrophy of gallbladder, and in the other 10 cases, the ifstulous tracts were all located between the fundus of the gallbladder and the transverse colon. All 14 patients underwent cholecystectomy, 12 patients had primary repair of colonic ifstula and 2 patients received partial colectomy and anastomosis. Postoperative infection occurred in 2 patients (7.14%), of which one was wound infection and the other was subphrenic infection. <br> Conclusion: In patients with a high suspicion of cholecystocolonic ifstula, using ERCP and other examinations may help improve its preoperative detection rate.关键词
胆瘘/诊断/胆瘘/治疗/结肠Key words
Biliary Fistula/diag/Biliary Fistula/therap/Colon分类
医药卫生引用本文复制引用
李明,孙维佳,陆晔斌,黄耿文,李宜雄..胆囊结肠瘘的临床分析：附14例报告[J].中国普通外科杂志,2016,25(8):1139-1144,6.
