Hem-o-lok夹移位胆道经内镜逆行胰胆管造影术取出一例  

Retrieval of a displaced Hem-o-lok clip from the biliary tract via endoscopic retrograde cholangiopancreatography:a case report

作　　者：檀啸 王旷靖 王苑 李晨新 沈颖洲 TAN Xiao;WANG Kuang-jing;WANG Yuan;LI Chen-xin;SHEN Ying-zhou(Graduate School,Wannan Medical College,Wuhu 241002,Anhui,CHINA;Department of Gastroenterology,Ma'anshan Hospital Affiliated to Wannan Medical College,Maanshan 243000,Anhui,CHINA)

机构地区：[1]皖南医学院研究生学院,安徽芜湖241002 [2]皖南医学院附属马鞍山医院,安徽马鞍山243000

出　　处：《海南医学》2025年第8期1183-1185,共3页Hainan Medical Journal

基　　金：安徽省卫生健康科研项目(编号:AHWJ2023BAa20055)。

摘　　要：胆囊术后结扎夹移位(PCCM)是胆囊腹腔镜手术的罕见并发症,其临床症状并不典型,诊断率极低。早期文献报道中,移位胆道的PCCM治疗方式多通过T管窦道行胆道镜探查或行外科手术取出,近年来随着内镜技术的不断发展,内镜逆行胰胆管造影术(ERCP)逐渐成熟,在取胆道异物方面有不可替代的优势。本文报道一例Hem-o-lok夹移位胆道经ERCP取出的病例。Post-cholecystectomy clip migration(PCCM)is a rare complication of laparoscopic cholecystecto-my,often presenting with nonspecific clinical symptoms and a low diagnostic rate.Early literature reported that PCCM in the biliary tract was primarily managed via choledochoscopy through a T-tube tract or surgical removal.However,with advancements in endoscopic techniques,endoscopic retrograde cholangiopancreatography(ERCP)has become a mature and indispensable method for retrieving biliary foreign bodies.This article reports a case of successful ERCP-as-sisted removal of a displaced Hem-o-lok clip from the biliary tract.

关 键 词：内镜逆行胰胆管造影术 Hem-o-lok夹 胆囊术后结扎夹移位 

分 类 号：R657.4[医药卫生—外科学]