A case report of surgical clip choledocholithiasis after laparoscopic choledocholithotomy:Encouragement of clipless surgery Jiro NAGATA 1 , Ken-ichi NAKANISHI 1 , Takahisa HIRAMITSU 1 , Satomi JINNO 1 , Hiroki MURAKAMI 1 , Takahiro MASE 1 1Department of Surgery, Ichinomiya City Hospital Keyword: 金属クリップ , 胆管結石 , クリップレス手術 pp.55-59
Published Date 2007/2/15
DOI https://doi.org/10.11477/mf.4426100011
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 An 84-year-old woman who went to her home doctor for abdominal pain was referred to another local hospital for hepatic dysfunction. Examination revealed surgical clip choledocholithisis, and the patient underwent endoscopic sphincterotomy. She also underwent laparoscopic choledocholithotomy in our hospital 5 years ago. Recently cases of clip migration have increased. We considered that the mechanism of surgical metal clip migration was like the following : the sharp edge of the surgical clip which came in contact with the bile duct encroach upon the fragile wall of the bile duct little by little due to trembling caused by pulsation and peristalsis, and then end up penetrating into the bile duct. We consider that the complication of metal clip shouldn't be overlooked. We recommend that clipless surgery should be performed for cholelithiasis for the prevention of complications due to metal clips.

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