J Korean Soc Endosc Laparosc Surg.  2010 Dec;13(2):157-159.

Surgical Clip Moved into the Extrahepatic Bile Duct after Laparoscopic Hepatectomy

Affiliations
  • 1Department of Surgery, Cheongju St. Mary's Hospital, Chungju, Korea. gsurgeonl@naver.com
  • 2Department of Internal Medicine, Cheongju St. Mary's Hospital, Chungju, Korea.
  • 3Health Promotion Center, Samsung Medical Center, Seoul, Korea.

Abstract

In the case of using surgical clips for division of the cystic duct during laparoscopiccholecystectomy, surgical clip migration into the common bile duct is known to be an extremely rare complication. However, its mechanism is currently unclear. The incidence of performing laparoscopic hepatectomy has significantly increased in the laparoscopic center of hospitals. Accordingly, the complications associated with using clips in laparoscopic cholecystectomy have increase as well. A 49 year-old female patient underwent laparoscopic left hepatectomy due to left intrahepatic duct stones with cholangitis. We report here on a case of a clip that migrated into the common bile duct and the duct had bile stones. We also review the relevant literature.

Keyword

Clip; Laparoscopic hepatectomy; Laparoscopic cholecystectomy

MeSH Terms

Bile
Bile Ducts, Extrahepatic
Cholangitis
Cholecystectomy, Laparoscopic
Common Bile Duct
Cystic Duct
Female
Hepatectomy
Humans
Incidence
Surgical Instruments
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