腹腔镜胆囊切除术后Hem-o-lok夹移位至胆总管：病例报告与机制探讨
Migration of a Hem-o-lok Clip into the Common Bile Duct after Laparoscopic Cholecystectomy: A Case Report and Mechanism Discussion
摘要: Hem-o-lok夹通常用于腹腔镜胆囊切除术(Laparoscopic Cholecystectomy, LC)中胆囊管和胆囊动脉的结扎。LC术后Hem-o-lok移位作为该手术的罕见并发症，具有临床症状不典型、诊断率极低的特点。在临床工作中常被误诊。本文报道一例无临床症状的Hem-o-lok夹移位至胆道后经内镜逆行胰胆管造影术(Encoscopic Retrograde Cholangio-Pancreatography, ERCP)取出的病例。以提高临床医生对罕见病例的认识与诊断。
Abstract: Hem-o-lok clips are commonly used for ligating the cystic duct and cystic artery during Laparoscopic Cholecystectomy (LC). Postoperative migration of Hem-o-lok clips is a rare complication of this procedure, characterized by atypical clinical symptoms and a very low diagnostic rate, often leading to misdiagnosis in clinical practice. This article reports a case of an asymptomatic Hem-o-lok clip migrating into the biliary tract, which was subsequently removed via Endoscopic Retrograde Cholangio-Pancreatography (ERCP). The aim is to enhance clinicians’ awareness and diagnosis of such rare cases.
文章引用：朱永飞, 顾进, 卢青剑, 王奇飞. 腹腔镜胆囊切除术后Hem-o-lok夹移位至胆总管：病例报告与机制探讨[J]. 临床医学进展, 2025, 15(11): 2315-2319. https://doi.org/10.12677/acm.2025.15113352

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