切换至 "中华医学电子期刊资源库"

中华肝脏外科手术学电子杂志 ›› 2025, Vol. 14 ›› Issue (04) : 628 -630. doi: 10.3877/cma.j.issn.2095-3232.2025.04.019

病例报告

荧光腹腔镜下成功治疗自发性肝外胆汁瘤一例
曾华东(), 邹雄峰, 李舒凡   
  1. 514031 广东省梅州市人民医院肝胆外一科
  • 收稿日期:2025-01-22 出版日期:2025-08-10
  • 通信作者: 曾华东
  • 基金资助:
    广东省医学科研基金项目(A2024679)

Treatment of spontaneous extrahepic biloma with fluorescent laparoscopy: a case report

Huadong Zeng(), Xiongfeng Zou, Shufan Li   

  • Received:2025-01-22 Published:2025-08-10
  • Corresponding author: Huadong Zeng
引用本文:

曾华东, 邹雄峰, 李舒凡. 荧光腹腔镜下成功治疗自发性肝外胆汁瘤一例[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(04): 628-630.

Huadong Zeng, Xiongfeng Zou, Shufan Li. Treatment of spontaneous extrahepic biloma with fluorescent laparoscopy: a case report[J/OL]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2025, 14(04): 628-630.

图1 一例自发性肝外胆汁瘤手术前后影像学检查及术中情况注:a为CT示肝胃间隙巨大囊性占位性病变;b为荧光下见肝左外叶脏面有一直径2 mm肝胆管漏口(黑色箭头),囊液为荧光染色的胆汁;c为术后T管造影示胆道通畅、左肝外叶未见造影剂外漏
[1]
Suzuki K, Hashimoto T, Osugi S, et al. Spontaneous biloma resulting from intrahepatic bile duct perforation coexisting with intrahepatic cholelithiasis and cholangiocarcinoma: a case report and literature review[J]. Am J Case Rep, 2020, 21: e926270. DOI: 10.12659/AJCR.926270.
[2]
王彦铭, 李钢, 向证文, 等. 肝外伤术后肝内胆汁性肝囊肿的诊治[J]. 四川医学, 2013, 34(9): 1406-1407.
[3]
柴宁莉, 汤小伟, 李惠凯, 等. 中国胆瘘消化内镜诊治专家共识(2020,北京)[J/OL]. 中华胃肠内镜电子杂志, 2020, 7(3): 108-116. DOI: 10.3877/cma.j.issn.2095-7157.2020.03.002.
[4]
Hamza A. Hepatic subcapsular biloma: concise description with histologic images[J]. Int J Surg Pathol, 2022, 30(2): 170-171. DOI: 10.1177/10668969211067761.
[5]
AlNaqrani FA. Biloma At the lesser sac post laparoscopic cholecystectomy[J]. Int J Gen Med, 2019, 12: 411-414. DOI: 10.2147/IJGM.S211600.
[6]
Pentara NV, Ioannidis A, Tzikos G, et al. Subcapsular biloma following endoscopic retrograde cholangiopancreatography and endoscopic biliary sphincterotomy: a case report with a mini review of literature[J]. Diagnostics, 2023, 13(5): 831. DOI: 10.3390/diagnostics13050831.
[7]
Hanawa K, Fukasawa M, Aoki T, et al. Retroperitoneal biloma-a rare differential diagnosis of perirenal fluid accumulation[J]. IJU Case Rep, 2024, 7(3): 270-273. DOI: 10.1002/iju5.12723.
[8]
Ormston T, Martin S, Croagh DG. Spontaneous biliary peritonitis and retroperitoneal biloma: an unusual presentation of a common disease[J]. ANZ J Surg, 2019, 89(11): 1510-1511. DOI: 10.1111/ans.14947.
[9]
尚丹丹, 刘燕, 尚培中, 等. 外伤性肝破裂的治疗现状[J]. 河北北方学院学报(自然科学版), 2022, 38(2): 40-45. DOI: 10.3969/j.issn.1673-1492.2022.02.014.
[10]
Aourarh B, Adioui T, Benhamdane A, et al. Infected biloma after endoscopic ultrasound-guided fine-needle aspiration[J]. Case Rep Gastroenterol, 2022, 16(1): 154-158. DOI: 10.1159/000522410.
[11]
Zhu M, Li G, Chen Y, et al. Clinical features and treatment of hepatic abscesses with biloma formation after transcatheter arterial chemoembolization[J]. Arab J Gastroenterol, 2022, 23(1): 32-38. DOI: 10.1016/j.ajg.2021.12.002.
[12]
Liu J, Wu Y, Xu E, et al. Risk factors of intrahepatic biloma and secondary infection after thermal ablation for malignant hepatic tumors[J]. Int J Hyperthermia, 2019, 36(1): 980-985. DOI: 10.1080/02656736.2019.1660422.
[13]
Wang H, Yan Z, Wang J, et al. Treatment of a huge biloma complicating curative radiofrequency ablation of hepatocellular carcinoma: a case report[J]. J Int Med Res, 2019, 47(10): 5337-5342. DOI: 10.1177/0300060519872585.
[14]
杨飞, 姜建威, 王鹏, 等. 介入治疗术后肝脏胆汁瘤的治疗分析[J]. 中华肝胆外科杂志, 2020, 26(3): 177-179. DOI: 10.3760/cma.j.issn.1007-8118.2020.03.005.
[15]
Sachdeva S, Sonika U, Dalal A, et al. Spontaneous giant biloma resulting from multifocal left hepatic duct perforation[J]. Indian J Gastroenterol, 2022, 41(4): 415-416. DOI: 10.1007/s12664-021-01154-y.
[16]
Costa MA, Pimentel A, da Silva SD, et al. Spontaneous retroperitoneal biloma in a patient with choledocholithiasis: presentation of case[J]. Int J Surg Case Rep, 2023, 106: 108170. DOI: 10.1016/j.ijscr.2023.108170.
[17]
Fujiwara H, Yamamoto M, Takahashi M, et al. Spontaneous rupture of an intrahepatic bile duct with biloma treated by percutaneous drainage and endoscopic sphincterotomy[J]. Am J Gastroenterol, 1998, 93(11): 2282-2284. DOI: 10.1111/j.1572-0241.1998.00636.x.
[18]
Mushtaque M, Farooq Mir M, Nazir P, et al. Spontaneous hepatic subcapsular biloma: report of three cases with review of the literature[J]. Turk J Gastroenterol, 2012, 23(3): 284-289. DOI: 10.4318/tjg.2012.0346.
[19]
Marth AA, Auer TA, Walter-Rittel TC, et al. Gd-EOB-DTPA-MRCP to localize bile leakage after liver trauma and surgery: impact on treatment and outcome[J]. Eur Radiol, 2023, 33(9): 5933-5942. DOI: 10.1007/s00330-023-09608-x.
[20]
谢峰, 黄杨卿, 杨甲梅. 复杂性肝内胆汁瘤的诊治:附三例报告[J]. 中华肝胆外科杂志, 2007, 13(8): 519-521. DOI: 10.3760/cma.j.issn.1007-8118.2007.08.007.
[21]
Sakamoto J, Ogura T, Ueno S, et al. Evaluation of exclusive internal endoscopic drainage for complex biloma with transluminal and transpapillary stenting[J]. Endosc Int Open, 2024, 12(2): E262-E268. DOI: 10.1055/a-2261-3137.
[22]
Lorenzo D, Bromberg L, Arvanitakis M, et al. Endoscopic internal drainage of complex bilomas and biliary leaks by transmural or transpapillary/transfistulary access[J]. Gastrointest Endosc, 2022, 95(1): 131-139.e6. DOI: 10.1016/j.gie.2021.07.016.
[23]
王平, 王业波. 老年人肝内胆汁瘤6例治疗体会[J]. 中华肝胆外科杂志, 2012, 18(4): 249-251. DOI: 10.3760/cma.j.issn.1007-8118.2012.04.003.
[24]
中国医师协会外科医师分会肝脏外科医师委员会. 吲哚菁绿荧光成像技术在肝脏外科应用中国专家共识(2023版)[J]. 中国实用外科杂志, 2023, 43(4): 371-383. DOI: 10.19538/j.cjps.issn1005-2208.223.04.02.
[25]
王诚, 黄伟, 周明雄. 吲哚菁绿在腹腔镜胆囊切除术中的应用进展[J]. 腹腔镜外科杂志, 2021, 26(9): 715-717. DOI: 10.13499/j.cnki.fqjwkzz.2021.09.715.
[26]
王潇宁, 吴硕东, 吴晓东. 吲哚菁绿荧光胆道造影在腹腔镜胆囊切除术中的即时应用体会[J]. 腹腔镜外科杂志, 2021, 26(11): 851-857. DOI: 10.13499/j.cnki.fqjwkzz.2021.11.851
[1] 邱益霖, 何坤. 肝细胞癌合并门静脉癌栓的治疗进展[J/OL]. 中华普通外科学文献(电子版), 2025, 19(03): 197-202.
[2] 陈浩, 王萌. 胃印戒细胞癌的临床病理特征及治疗选择的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 108-111.
[3] 唐梅, 周丽, 牛岑月, 周小童, 王倩. ICG荧光导航的腹腔镜肝切除术临床意义[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 655-658.
[4] 王兴, 文阳辉, 姚戈冰, 郭平学, 杨自华. ICG荧光腹腔镜下胆囊切除术的临床应用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 663-666.
[5] 姜宁宁, 蔺艳丽, 陈惠明. 胆总管结石患者腹腔镜胆总管探查术中应用“三针法”缝合方案的临床研究[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(05): 531-534.
[6] 中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科专家工作组. 腹股沟疝诊疗指南(2024 版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(01): 1-8.
[7] 中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科专家工作组. 腹壁切口疝诊疗指南(2024 版)[J/OL]. 中华疝和腹壁外科杂志(电子版), 2025, 19(01): 9-17.
[8] 辛海贝, 李志洲, 白斌, 张海东, 苏显, 张存圳, 隋承军, 丁光辉, 张敏峰. 腹腔镜胆总管切开取石顺行留置鼻胆管一期缝合的临床应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(04): 589-594.
[9] 赵畅, 杨毅, 唐华勇, 肖群, 袁通立. 三镜联合与双镜联合治疗胆囊结石合并胆总管结石的临床疗效比较[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 408-415.
[10] 杜文成, 黄若楠, 孙翀, 李瑞, 徐成臣, 胡开泰, 崔磊, 王辉, 谢应海. ERAS理念在老年腹腔镜联合胆道镜胆总管切开取石一期缝合患者中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 416-422.
[11] 蒋文竹, 贾竞超, 周标, 何晓伟, 邓志成. 一期LCBDE+LC与分期ERCP+LC治疗无扩张的胆总管结石合并胆囊结石疗效比较[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(03): 423-429.
[12] 焦振东, 惠鹏, 金上博. 三维可视化结合ICG显像技术在腹腔镜肝切除术治疗复发性肝癌中的应用[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 859-864.
[13] 鲁翼, 周炼红, 张灿灿, 余露润, 龚奇, 袁庆, 段欧文. 甲状腺相关性眼病所致限制性斜视临床特征和手术治疗效果的临床研究[J/OL]. 中华眼科医学杂志(电子版), 2025, 15(01): 21-26.
[14] 曹文钰, 郭鹏, 李锦平. 微创手术及非手术方式治疗慢性硬膜下血肿的研究进展[J/OL]. 中华神经创伤外科电子杂志, 2024, 10(05): 304-309.
[15] 苏建龙, 甄文剑, 孙宇婷, 郝进敏. CT 脑灌注在大面积脑梗死患者病情评估及手术方案设计中的应用[J/OL]. 中华脑血管病杂志(电子版), 2025, 19(02): 133-140.
阅读次数
全文


摘要