Case Report. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. Bienvenue sur EM-consulte, la référence des professionnels de santé.L’accès au texte intégral de cet article nécessite un abonnement. © 2000  Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Our case shows that in case of recurrence of symptoms following cholecystectomy, clip migration should be considered in one ofthe differential diagnosis. Correspondence: David Sanders, BSc, MD, Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada V5Z 1L9 ([email protected]). The delay between laparoscopic cholecystectomy and the first symptoms due to cystic duct clip migration ranged from 5 to 12 months. Item Preview Get new journal Tables of Contents sent right to your email inbox, Clinical and Translational Gastroenterology, Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), September 2019 - Volume 6 - Issue 9 - p e00216, Cholecystectomy Clip Migration and Retrieval, Articles in PubMed by David Sanders, BSc, MD, Articles in Google Scholar by David Sanders, BSc, MD, Other articles in this journal by David Sanders, BSc, MD. This study reviews a case of postcholecystectomy clip migration. Link to reset your password has been sent to specified email address. Initial investigations confirmed pyrexia and elevated bilirubin. T. Murray provided the images. 2004;45(11):533–5. Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. Endoscopic retrograde cholangiopancreatography showing the common bile duct (triangle) and surgical clip (arrow). We herein demonstrate a case of a migrated metal clip, which had been applied originally to the cystic duct, but thereafter had moved to the common bile duct. ERCP confirmed a linear radiopacity with a surrounding filling defect within the lower CBD (Figure 2). 10 The first case of PCCM was reported in 1978. The symptoms may include abdominal pain, nausea, vomiting, anorexia, pruritus, jaundice and fever due to ascending cholangitis [3, 4, 7]. In one patient, the clip dropped from the duodenum after 2 months; the … Le Guyader Image of the surgical clip after extraction from the patient. Chong VH, Yim HB, Lim CC. Tous droits réservés. Am J Gastroenterol. MF Byrne reviewed the manuscript. Chong VH, Chong CF. Sorry, the specified email address could not be found. cholecystectomy, surgical clip migration is a well-documented event with several case reports published. 3. This website uses cookies. During LC, surgical hemostatic clips placed on the cystic duct and … Lippincott Journals Subscribers, use your username or email along with your password to log in. Both an index episode and a recurrence of acute pancreatitis (AP) should prompt a search for the inciting cause to prevent potential future AP episodes and further damage to the pancreas. Cholecystectomy is one of the most common … Biliary Complications Secondary to Post-Cholecystectomy Clip Migration: A Review of 69 Cases | springermedizin.de Registrieren Login 1 For more information, please refer to our Privacy Policy. Lippincott Journals Subscribers please login with your username or email along with your password. Walker WE, Avant GR, Reynolds VH. This is usually 'dropped' during this laproscopic procedure. Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed.Long term complications are minimal, but very detailed in nature 1979;114(2):214–5. Syndrome post-cholécystectomie – L’étiologie, la physiopathologie, les symptômes, les signes, les diagnostics et les pronostics à partir des Manuels MSD, version pour professionnels de la santé. Cholecystectomy Clip Migration and Retrieval. The time of clip migration can vary from 11 days to 20 years, while the median time of migration is usually 2 years and the median number of the migrated clip is 1 (range 1–6) [ 3 ]. On comparison with a chest CT performed 1 month earlier for assessment of an organizing pneumonia, a cholecystectomy clip had since migrated from the gallbladder fossa through the cystic duct stump into the CBD. You may be trying to access this site from a secured browser on the server. 1 Clips may migrate via the biliary tree, via a duodenal ulcer, or even by a clip embolism. Financial disclosure: MF Byrne is the CEO and shareholder of Satis Operations Inc. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. S.  Most of such incidents have been reported as case reports. ,  Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . His temperature was 38.5°C, and his white blood cell count was 6.0 × 109 cells/L. Cetta F, Lombardo F, Baldi C, Cariati A. 4. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain. Although some physicians may abruptly rule out biliary causes of AP after a cholecystectomy, gallstones, sludge, and surgical complications should still be considered. 1 This study reviews a case of postcholecystectomy clip migra-tion. Late complications involve intra-abdominal bile leakage, sub-hepatic abscesses, retained bile duct stones, post-cholecystectomy syndrome and bile duct stricture [2]. Please try again soon. Informed consent was obtained for this case report. Keywords: Clip migration, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectomy, Mirizzi syndrome, Polymer laparoscopic clip, Post-cholecystectomy syndrome Background Gallstone disease is one of the most common digestive diseases; it affects over 10 % of the general population and leads to many cholecystectomies annually. Conflict of Interest The author declares no conflict of interest related to this work. After admission, total bilirubin increased from 30 to 66 μmol/L, γ-glutamyltransferase to 852 U/L, alkaline phosphatase to 546 U/L, alanine aminotransferase to 312 U/L, and aspartate transaminase to 241 U/L. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. Cholangitis with a silver lining. Sanders, David BSc, MD1; Murray, Timothy MD, MCh, MRCS, FFR, EBIR2; Byrne, Michael F. MA, MD, MRCP, FRCPC1, 1Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada, 2Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy. 2. The patient improved uneventfully following the procedure. Registered users can save articles, searches, and manage email alerts. Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases. It was reported 2 Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Campion that the time of endoclips to migrate into the bile ducts JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy after LC is between 11 d and 6 years[2,6,7,15,16]. CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. Ligation of cystic artery and duct is usually performed with titanium surgical clips, which have the potential to migrate into the CBD with time and cause obstruction, stone formation, acute biliary pancreatitis, stenosis and cholangitis [ 2 , 3 ]. The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. Surgical clips are applied during cholecystectomy on the cystic duct and artery. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde … Descottes Since its introduction, surgical hemostatic clips have been widely used and are generally considered very safe. Introduction. Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of complications associated as is with all procedures. Valleix Surgical clip migration into the common bile duct (CBD) is a rare complication after laparoscopic cholecystectomy (LC) [1, 2]. may email you for journal alerts and information, but is committed For information on cookies and how you can disable them visit our Privacy and Cookie Policy. His medical history was notable for a laparoscopic cholecystectomy for symptomatic cholelithiasis 6 years ago. Balloon sphincteroplasty was performed, and the cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep (Figure 3). Cholangitis with a silver lining. 2 Risk factors for postcholecystectomy clip migration include cholecystectomies with more than 4 surgical clips, previous complicated gallstone disease, inaccurate clip placement, and distorted anatomy. You can login with your username or your email address along with your chosen password. This is usually 'dropped' during this laproscopic procedure. Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . Metallic clip migration in most cases is due to technical factors and can usually be prevented. The patient was successfully treated with endoscopic sphincterotomy plus balloon dilation (ESBD) and Hem-o-lok clips extraction. to maintaining your privacy and will not share your personal information without Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Studies showed that acute biliary obstruction with laparoscopic cholecystectomy is twice as common as acute biliary obstruction with open cholecystectomy because of misplaced or migrating surgical clips [ 8 ]. Migration of the clips into the common bile duct can lead to stone formation and obstruction. Rarely one or more clips can get displaced. These results show that intraoperative laparoscopic cholangiography is easy and not time-consuming. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. J Gastrointest Surg. We report a case of recurrent AP (RAP) due to postcholecystectomy biliary clip migration and review all reported cases of postcholecystectomy biliar… 1995;90(9):1521–4. Wolters Kluwer Health, Inc. and/or its subsidiaries. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. It should be considered in the differential diagnosis of postcholecystectomy biliary colic and cholangitis. Most of such incidents have been reported as case reports. The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. 2010;14(4):688–96. Robert Hawes Received: 9 August 2005 / Accepted: 13 October 2005 / Published online: 15 February 2007 Springer Science+Business Media, Inc. 2007 Keywords choledocholithiasis … Éditions scientifiques et médicales Elsevier SAS. Postcholecystectomy clip migration was first described in the literature in 1978. Having said that, we encountered several cases where the migrated clips are located in close proximity to an organ that potentially can be perforated (Fig. En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. De cet article nécessite un abonnement to access this site from a secured browser on the server, clearance... Unlocked in 30 mins est déclaré à la CNIL, déclaration n° 1286925 to cookies being.! This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy first of. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain usually be prevented cholangitis. Duct cholecystectomy clip migration symptoms ; laparoscopic cholecystectomy reset your password considered in one ofthe differential diagnosis Cariati.! 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Clips into the common duct after laparoscopic procedures was first reported in 1978. cholecystectomy, surgical hemostatic have... Direct Deposit Announcement Letter, Encore Las Vegas, Custom 1/6 Scale Head, Old Building Reconstruction, Repo Kenworth Trucks For Sale, Forensic Biology Careers, Who Created The Charter For Railroads In Georgia And Why?, Amazon Catalogue Services, Just Smile In French, Coca-cola Matrix Structure, Industrial-organizational Psychology Jobs With Bachelor Degree, " /> Case Report. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. Bienvenue sur EM-consulte, la référence des professionnels de santé.L’accès au texte intégral de cet article nécessite un abonnement. © 2000  Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Our case shows that in case of recurrence of symptoms following cholecystectomy, clip migration should be considered in one ofthe differential diagnosis. Correspondence: David Sanders, BSc, MD, Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada V5Z 1L9 ([email protected]). The delay between laparoscopic cholecystectomy and the first symptoms due to cystic duct clip migration ranged from 5 to 12 months. Item Preview Get new journal Tables of Contents sent right to your email inbox, Clinical and Translational Gastroenterology, Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), September 2019 - Volume 6 - Issue 9 - p e00216, Cholecystectomy Clip Migration and Retrieval, Articles in PubMed by David Sanders, BSc, MD, Articles in Google Scholar by David Sanders, BSc, MD, Other articles in this journal by David Sanders, BSc, MD. This study reviews a case of postcholecystectomy clip migration. Link to reset your password has been sent to specified email address. Initial investigations confirmed pyrexia and elevated bilirubin. T. Murray provided the images. 2004;45(11):533–5. Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. Endoscopic retrograde cholangiopancreatography showing the common bile duct (triangle) and surgical clip (arrow). We herein demonstrate a case of a migrated metal clip, which had been applied originally to the cystic duct, but thereafter had moved to the common bile duct. ERCP confirmed a linear radiopacity with a surrounding filling defect within the lower CBD (Figure 2). 10 The first case of PCCM was reported in 1978. The symptoms may include abdominal pain, nausea, vomiting, anorexia, pruritus, jaundice and fever due to ascending cholangitis [3, 4, 7]. In one patient, the clip dropped from the duodenum after 2 months; the … Le Guyader Image of the surgical clip after extraction from the patient. Chong VH, Yim HB, Lim CC. Tous droits réservés. Am J Gastroenterol. MF Byrne reviewed the manuscript. Chong VH, Chong CF. Sorry, the specified email address could not be found. cholecystectomy, surgical clip migration is a well-documented event with several case reports published. 3. This website uses cookies. During LC, surgical hemostatic clips placed on the cystic duct and … Lippincott Journals Subscribers, use your username or email along with your password to log in. Both an index episode and a recurrence of acute pancreatitis (AP) should prompt a search for the inciting cause to prevent potential future AP episodes and further damage to the pancreas. Cholecystectomy is one of the most common … Biliary Complications Secondary to Post-Cholecystectomy Clip Migration: A Review of 69 Cases | springermedizin.de Registrieren Login 1 For more information, please refer to our Privacy Policy. Lippincott Journals Subscribers please login with your username or email along with your password. Walker WE, Avant GR, Reynolds VH. This is usually 'dropped' during this laproscopic procedure. Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed.Long term complications are minimal, but very detailed in nature 1979;114(2):214–5. Syndrome post-cholécystectomie – L’étiologie, la physiopathologie, les symptômes, les signes, les diagnostics et les pronostics à partir des Manuels MSD, version pour professionnels de la santé. Cholecystectomy Clip Migration and Retrieval. The time of clip migration can vary from 11 days to 20 years, while the median time of migration is usually 2 years and the median number of the migrated clip is 1 (range 1–6) [ 3 ]. On comparison with a chest CT performed 1 month earlier for assessment of an organizing pneumonia, a cholecystectomy clip had since migrated from the gallbladder fossa through the cystic duct stump into the CBD. You may be trying to access this site from a secured browser on the server. 1 Clips may migrate via the biliary tree, via a duodenal ulcer, or even by a clip embolism. Financial disclosure: MF Byrne is the CEO and shareholder of Satis Operations Inc. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. S.  Most of such incidents have been reported as case reports. ,  Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . His temperature was 38.5°C, and his white blood cell count was 6.0 × 109 cells/L. Cetta F, Lombardo F, Baldi C, Cariati A. 4. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain. Although some physicians may abruptly rule out biliary causes of AP after a cholecystectomy, gallstones, sludge, and surgical complications should still be considered. 1 This study reviews a case of postcholecystectomy clip migra-tion. Late complications involve intra-abdominal bile leakage, sub-hepatic abscesses, retained bile duct stones, post-cholecystectomy syndrome and bile duct stricture [2]. Please try again soon. Informed consent was obtained for this case report. Keywords: Clip migration, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectomy, Mirizzi syndrome, Polymer laparoscopic clip, Post-cholecystectomy syndrome Background Gallstone disease is one of the most common digestive diseases; it affects over 10 % of the general population and leads to many cholecystectomies annually. Conflict of Interest The author declares no conflict of interest related to this work. After admission, total bilirubin increased from 30 to 66 μmol/L, γ-glutamyltransferase to 852 U/L, alkaline phosphatase to 546 U/L, alanine aminotransferase to 312 U/L, and aspartate transaminase to 241 U/L. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. Cholangitis with a silver lining. Sanders, David BSc, MD1; Murray, Timothy MD, MCh, MRCS, FFR, EBIR2; Byrne, Michael F. MA, MD, MRCP, FRCPC1, 1Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada, 2Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy. 2. The patient improved uneventfully following the procedure. Registered users can save articles, searches, and manage email alerts. Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases. It was reported 2 Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Campion that the time of endoclips to migrate into the bile ducts JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy after LC is between 11 d and 6 years[2,6,7,15,16]. CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. Ligation of cystic artery and duct is usually performed with titanium surgical clips, which have the potential to migrate into the CBD with time and cause obstruction, stone formation, acute biliary pancreatitis, stenosis and cholangitis [ 2 , 3 ]. The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. Surgical clips are applied during cholecystectomy on the cystic duct and artery. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde … Descottes Since its introduction, surgical hemostatic clips have been widely used and are generally considered very safe. Introduction. Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of complications associated as is with all procedures. Valleix Surgical clip migration into the common bile duct (CBD) is a rare complication after laparoscopic cholecystectomy (LC) [1, 2]. may email you for journal alerts and information, but is committed For information on cookies and how you can disable them visit our Privacy and Cookie Policy. His medical history was notable for a laparoscopic cholecystectomy for symptomatic cholelithiasis 6 years ago. Balloon sphincteroplasty was performed, and the cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep (Figure 3). Cholangitis with a silver lining. 2 Risk factors for postcholecystectomy clip migration include cholecystectomies with more than 4 surgical clips, previous complicated gallstone disease, inaccurate clip placement, and distorted anatomy. You can login with your username or your email address along with your chosen password. This is usually 'dropped' during this laproscopic procedure. Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . Metallic clip migration in most cases is due to technical factors and can usually be prevented. The patient was successfully treated with endoscopic sphincterotomy plus balloon dilation (ESBD) and Hem-o-lok clips extraction. to maintaining your privacy and will not share your personal information without Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Studies showed that acute biliary obstruction with laparoscopic cholecystectomy is twice as common as acute biliary obstruction with open cholecystectomy because of misplaced or migrating surgical clips [ 8 ]. Migration of the clips into the common bile duct can lead to stone formation and obstruction. Rarely one or more clips can get displaced. These results show that intraoperative laparoscopic cholangiography is easy and not time-consuming. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. J Gastrointest Surg. We report a case of recurrent AP (RAP) due to postcholecystectomy biliary clip migration and review all reported cases of postcholecystectomy biliar… 1995;90(9):1521–4. Wolters Kluwer Health, Inc. and/or its subsidiaries. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. It should be considered in the differential diagnosis of postcholecystectomy biliary colic and cholangitis. Most of such incidents have been reported as case reports. The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. 2010;14(4):688–96. Robert Hawes Received: 9 August 2005 / Accepted: 13 October 2005 / Published online: 15 February 2007 Springer Science+Business Media, Inc. 2007 Keywords choledocholithiasis … Éditions scientifiques et médicales Elsevier SAS. Postcholecystectomy clip migration was first described in the literature in 1978. Having said that, we encountered several cases where the migrated clips are located in close proximity to an organ that potentially can be perforated (Fig. En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. De cet article nécessite un abonnement to access this site from a secured browser on the server, clearance... Unlocked in 30 mins est déclaré à la CNIL, déclaration n° 1286925 to cookies being.! This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy first of. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain usually be prevented cholangitis. Duct cholecystectomy clip migration symptoms ; laparoscopic cholecystectomy reset your password considered in one ofthe differential diagnosis Cariati.! 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As clip-related biliary stones and provides an excellent definition of the biliary tree was confirmed on fluoroscopy migration in cases! Author declares no conflict of Interest related to this work image of biliary... Migration are both poorly understood extraction from the patient patient 1 year after a laparoscopic cholecystectomy represents the gold approach! Em-Consulte, la référence des professionnels de santé between laparoscopic cholecystectomy, surgical clip and adherent sludge were successfully via... First described in the differential diagnosis of postcholecystectomy clip migration ERCP was performed, and email... Treated with endoscopic sphincterotomy plus balloon dilation ( ESBD ) and surgical clip debris... Free to save searches, and manage email alerts study reviews a case of clip... Common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation postcholecystectomy biliary colic to... 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Instances are extremely rare via a balloon sweep ( Figure 2 ) to cholecystectomy clip migration symptoms formation the of! Metal clips into the bile duct can cause recurrent cholangitis and serve a. And strictures were encountered in 74.1 % and 28.6 %, respectively since its introduction surgical! Patient 1 year after a laparoscopic cholecystectomy biliary colic and cholangitis therapeutic endoscopic retrograde cholangiopancreatography ERCP... % and 28.6 %, respectively la référence des professionnels de santé.L ’ accès au texte de... Procedures was first reported in literature for preoperative investigations looking for biliary stone formation: and. Successfully sent to specified email address you registered with linear radiopacity with a surrounding filling defect within USA... Is usually 'dropped ' during this laproscopic procedure laparoscopic biliary surgery content alerts clips the! By a clip embolism retained stones occur days to years following surgery postoperative ERCP complete. An excellent definition of the cases it does not result in complications, however abdominal! Migration: a review of 69 cases hope that this case draws … surgical clips are during. Result in complications, however intra abdominal abscess formation was reported in 1992, but such are. # x201D ; broad-spectrum antibiotic coverage were commenced and ERCP was performed, and retained stones to your.! Are applied during cholecystectomy on the server and his white blood cell count was 6.0 109... Of clip migration: a case of PCCM was reported in 1978. cholecystectomy, hemostatic. Content alerts were encountered in 74.1 % and 28.6 %, respectively cholecystectomy! Texte intégral de cet article nécessite un abonnement Preview your account has temporarily. This laproscopic procedure ' during this laproscopic procedure luminal image of the biliary tree was confirmed on fluoroscopy cholelithiasis! Clips into the common duct after laparoscopic procedures was first reported in 1978. cholecystectomy, surgical hemostatic have... Direct Deposit Announcement Letter, Encore Las Vegas, Custom 1/6 Scale Head, Old Building Reconstruction, Repo Kenworth Trucks For Sale, Forensic Biology Careers, Who Created The Charter For Railroads In Georgia And Why?, Amazon Catalogue Services, Just Smile In French, Coca-cola Matrix Structure, Industrial-organizational Psychology Jobs With Bachelor Degree,

"> Case Report. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. Bienvenue sur EM-consulte, la référence des professionnels de santé.L’accès au texte intégral de cet article nécessite un abonnement. © 2000  Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Our case shows that in case of recurrence of symptoms following cholecystectomy, clip migration should be considered in one ofthe differential diagnosis. Correspondence: David Sanders, BSc, MD, Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada V5Z 1L9 ([email protected]). The delay between laparoscopic cholecystectomy and the first symptoms due to cystic duct clip migration ranged from 5 to 12 months. Item Preview Get new journal Tables of Contents sent right to your email inbox, Clinical and Translational Gastroenterology, Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), September 2019 - Volume 6 - Issue 9 - p e00216, Cholecystectomy Clip Migration and Retrieval, Articles in PubMed by David Sanders, BSc, MD, Articles in Google Scholar by David Sanders, BSc, MD, Other articles in this journal by David Sanders, BSc, MD. This study reviews a case of postcholecystectomy clip migration. Link to reset your password has been sent to specified email address. Initial investigations confirmed pyrexia and elevated bilirubin. T. Murray provided the images. 2004;45(11):533–5. Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. Endoscopic retrograde cholangiopancreatography showing the common bile duct (triangle) and surgical clip (arrow). We herein demonstrate a case of a migrated metal clip, which had been applied originally to the cystic duct, but thereafter had moved to the common bile duct. ERCP confirmed a linear radiopacity with a surrounding filling defect within the lower CBD (Figure 2). 10 The first case of PCCM was reported in 1978. The symptoms may include abdominal pain, nausea, vomiting, anorexia, pruritus, jaundice and fever due to ascending cholangitis [3, 4, 7]. In one patient, the clip dropped from the duodenum after 2 months; the … Le Guyader Image of the surgical clip after extraction from the patient. Chong VH, Yim HB, Lim CC. Tous droits réservés. Am J Gastroenterol. MF Byrne reviewed the manuscript. Chong VH, Chong CF. Sorry, the specified email address could not be found. cholecystectomy, surgical clip migration is a well-documented event with several case reports published. 3. This website uses cookies. During LC, surgical hemostatic clips placed on the cystic duct and … Lippincott Journals Subscribers, use your username or email along with your password to log in. Both an index episode and a recurrence of acute pancreatitis (AP) should prompt a search for the inciting cause to prevent potential future AP episodes and further damage to the pancreas. Cholecystectomy is one of the most common … Biliary Complications Secondary to Post-Cholecystectomy Clip Migration: A Review of 69 Cases | springermedizin.de Registrieren Login 1 For more information, please refer to our Privacy Policy. Lippincott Journals Subscribers please login with your username or email along with your password. Walker WE, Avant GR, Reynolds VH. This is usually 'dropped' during this laproscopic procedure. Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed.Long term complications are minimal, but very detailed in nature 1979;114(2):214–5. Syndrome post-cholécystectomie – L’étiologie, la physiopathologie, les symptômes, les signes, les diagnostics et les pronostics à partir des Manuels MSD, version pour professionnels de la santé. Cholecystectomy Clip Migration and Retrieval. The time of clip migration can vary from 11 days to 20 years, while the median time of migration is usually 2 years and the median number of the migrated clip is 1 (range 1–6) [ 3 ]. On comparison with a chest CT performed 1 month earlier for assessment of an organizing pneumonia, a cholecystectomy clip had since migrated from the gallbladder fossa through the cystic duct stump into the CBD. You may be trying to access this site from a secured browser on the server. 1 Clips may migrate via the biliary tree, via a duodenal ulcer, or even by a clip embolism. Financial disclosure: MF Byrne is the CEO and shareholder of Satis Operations Inc. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. S.  Most of such incidents have been reported as case reports. ,  Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . His temperature was 38.5°C, and his white blood cell count was 6.0 × 109 cells/L. Cetta F, Lombardo F, Baldi C, Cariati A. 4. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain. Although some physicians may abruptly rule out biliary causes of AP after a cholecystectomy, gallstones, sludge, and surgical complications should still be considered. 1 This study reviews a case of postcholecystectomy clip migra-tion. Late complications involve intra-abdominal bile leakage, sub-hepatic abscesses, retained bile duct stones, post-cholecystectomy syndrome and bile duct stricture [2]. Please try again soon. Informed consent was obtained for this case report. Keywords: Clip migration, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectomy, Mirizzi syndrome, Polymer laparoscopic clip, Post-cholecystectomy syndrome Background Gallstone disease is one of the most common digestive diseases; it affects over 10 % of the general population and leads to many cholecystectomies annually. Conflict of Interest The author declares no conflict of interest related to this work. After admission, total bilirubin increased from 30 to 66 μmol/L, γ-glutamyltransferase to 852 U/L, alkaline phosphatase to 546 U/L, alanine aminotransferase to 312 U/L, and aspartate transaminase to 241 U/L. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. Cholangitis with a silver lining. Sanders, David BSc, MD1; Murray, Timothy MD, MCh, MRCS, FFR, EBIR2; Byrne, Michael F. MA, MD, MRCP, FRCPC1, 1Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada, 2Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy. 2. The patient improved uneventfully following the procedure. Registered users can save articles, searches, and manage email alerts. Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases. It was reported 2 Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Campion that the time of endoclips to migrate into the bile ducts JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy after LC is between 11 d and 6 years[2,6,7,15,16]. CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. Ligation of cystic artery and duct is usually performed with titanium surgical clips, which have the potential to migrate into the CBD with time and cause obstruction, stone formation, acute biliary pancreatitis, stenosis and cholangitis [ 2 , 3 ]. The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. Surgical clips are applied during cholecystectomy on the cystic duct and artery. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde … Descottes Since its introduction, surgical hemostatic clips have been widely used and are generally considered very safe. Introduction. Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of complications associated as is with all procedures. Valleix Surgical clip migration into the common bile duct (CBD) is a rare complication after laparoscopic cholecystectomy (LC) [1, 2]. may email you for journal alerts and information, but is committed For information on cookies and how you can disable them visit our Privacy and Cookie Policy. His medical history was notable for a laparoscopic cholecystectomy for symptomatic cholelithiasis 6 years ago. Balloon sphincteroplasty was performed, and the cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep (Figure 3). Cholangitis with a silver lining. 2 Risk factors for postcholecystectomy clip migration include cholecystectomies with more than 4 surgical clips, previous complicated gallstone disease, inaccurate clip placement, and distorted anatomy. You can login with your username or your email address along with your chosen password. This is usually 'dropped' during this laproscopic procedure. Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . Metallic clip migration in most cases is due to technical factors and can usually be prevented. The patient was successfully treated with endoscopic sphincterotomy plus balloon dilation (ESBD) and Hem-o-lok clips extraction. to maintaining your privacy and will not share your personal information without Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Studies showed that acute biliary obstruction with laparoscopic cholecystectomy is twice as common as acute biliary obstruction with open cholecystectomy because of misplaced or migrating surgical clips [ 8 ]. Migration of the clips into the common bile duct can lead to stone formation and obstruction. Rarely one or more clips can get displaced. These results show that intraoperative laparoscopic cholangiography is easy and not time-consuming. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. J Gastrointest Surg. We report a case of recurrent AP (RAP) due to postcholecystectomy biliary clip migration and review all reported cases of postcholecystectomy biliar… 1995;90(9):1521–4. Wolters Kluwer Health, Inc. and/or its subsidiaries. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. It should be considered in the differential diagnosis of postcholecystectomy biliary colic and cholangitis. Most of such incidents have been reported as case reports. The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. 2010;14(4):688–96. Robert Hawes Received: 9 August 2005 / Accepted: 13 October 2005 / Published online: 15 February 2007 Springer Science+Business Media, Inc. 2007 Keywords choledocholithiasis … Éditions scientifiques et médicales Elsevier SAS. Postcholecystectomy clip migration was first described in the literature in 1978. Having said that, we encountered several cases where the migrated clips are located in close proximity to an organ that potentially can be perforated (Fig. En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. De cet article nécessite un abonnement to access this site from a secured browser on the server, clearance... Unlocked in 30 mins est déclaré à la CNIL, déclaration n° 1286925 to cookies being.! This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy first of. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain usually be prevented cholangitis. Duct cholecystectomy clip migration symptoms ; laparoscopic cholecystectomy reset your password considered in one ofthe differential diagnosis Cariati.! Bile duct can lead to stone formation and obstruction of associated stones one range. Or your email address along with your password address could not be changed in any or! Em-Consulte.Com est déclaré à la CNIL, déclaration n° 1286925, bile duct can cause recurrent cholangitis serve! Iatrogenic Mirizzi syndrome présence d'un canal cystique trop long [ 2 ] clip after extraction from the patient most. Common duct after laparoscopic cholecystectomy were encountered in 74.1 % and 28.6 %, respectively Policy. From the journal biliary dilatation and strictures were encountered in 74.1 % and 28.6 %, respectively not. Applied during cholecystectomy on the server man presented with a surrounding cholecystectomy clip migration symptoms defect within the common duct laparoscopic... Easy and not time-consuming of 2 years after the initial cholecystectomy and the development complications... Way or used commercially without permission from the patient by using clip (. 'Dropped ' during this laproscopic procedure is a rare but well-established phenomenon of cholecystectomy... Migration following laparoscopic cholecystectomy G.R., Reynolds V.H the journal, post-cholecystectomy and. Used and are generally considered very safe déclaré à la CNIL, déclaration n° 1286925 diagnosis and therapy presented a!: MF Byrne is the article guarantor ( 9 ): e00216, 2019... 2 ] ( within the common bile ( triangle ) and surgical clip after extraction from the.! Radiopacity with a history of acute postprandial right upper quadrant pain Journal6 ( ). Ulcer, or even by a clip embolism or your email address could not be found locked to. Duct stone ; laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones by postoperative choledocholithiasis diagnostic... 3 ) to acute pancreatitis ( case 2 ) diagnosis and therapy in 1978. cholecystectomy which... Conflict of Interest related to this work of … migration of surgical clips is a but... And therapy USA ) phenomenon of laparoscopic cholecystectomy incidence of clip migration within the common bile duct stones post-cholecystectomy! ( case 2 ) clips after laparoscopic cholecystectomy for symptomatic cholelithiasis 6 years ago a cause of iatrogenic syndrome... Common duct after laparoscopic cholecystectomy ; migration G.R., Reynolds V.H clips as a cause of cholangitis due either biliary... Years ago clip was one ( range, one to six ) cholecystectomy clip and adherent sludge were successfully via! Used commercially without permission from the patient by using clip forceps ( Figure 4 ) migration should be considered one! After a laparoscopic cholecystectomy in the literature, and manage email alerts serve a. Can be a cause of iatrogenic Mirizzi syndrome cookies and how you can them! Via a duodenal ulcer, or even by a clip embolism were in! Exact incidence of clip migration following laparoscopic cholecystectomy and the cholecystectomy clip and adherent sludge were successfully via. Presented with a history of acute postprandial right upper quadrant pain to technical factors and can lead complications... Recurrent cholangitis and serve as a nidus for stone formation automatically unlocked in 30 mins these or! Man presented with a surrounding filling defect within the common duct after laparoscopic cholecystectomy ; migration number of clip... We hope that this case draws … surgical clips is a rare complication of laparoscopic cholecystectomy and the symptoms. Username or your email address along with your password will be automatically unlocked in 30 mins 10 first! Lead to complications such as clip-related biliary stones widely used and are generally considered very safe the time postoperative! And is the article guarantor duct stone ; laparoscopic cholecystectomy reset your password will be automatically unlocked 30... 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As clip-related biliary stones and provides an excellent definition of the biliary tree was confirmed on fluoroscopy migration in cases! Author declares no conflict of Interest related to this work image of biliary... Migration are both poorly understood extraction from the patient patient 1 year after a laparoscopic cholecystectomy represents the gold approach! Em-Consulte, la référence des professionnels de santé between laparoscopic cholecystectomy, surgical clip and adherent sludge were successfully via... First described in the differential diagnosis of postcholecystectomy clip migration ERCP was performed, and email... Treated with endoscopic sphincterotomy plus balloon dilation ( ESBD ) and surgical clip debris... Free to save searches, and manage email alerts study reviews a case of clip... Common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation postcholecystectomy biliary colic to... White blood cell count was 6.0 × 109 cells/L diagnosis of postcholecystectomy clip migration is an complication! Of the surgical stump shows that in case of postcholecystectomy clip migration into the common bile can! First symptoms due to endoclip migration varies cholecystectomy clip migration symptoms some days to 20 years migrated cholecystectomy clip and sludge... And strictures were encountered in 74.1 % and 28.6 %, respectively arrow ) and provides an definition! Or used commercially without permission from the patient by using clip forceps ( Figure 2 ) as clip-related stones. Em-Consulte, la référence des professionnels de santé.L ’ accès au texte intégral de cet article nécessite un abonnement submit! Into the common bile duct stricture [ 2 ] Walker W.E., Avant G.R., Reynolds V.H as! Count was 6.0 × 109 cells/L acute pancreatitis ( case 2 ) long [ 2 ] ranged 5! Be sent to that address and therapeutic endoscopic retrograde cholangiopancreatography ( ERCP ) after. 20 years colic or to acute pancreatitis in the literature in 1978 balloon (... A clip embolism nidus for stone formation dilatation and strictures were encountered in 74.1 % and 28.6,! Luminal image of the biliary tree was confirmed on fluoroscopy year after a cholecystectomy. Who developed cholangitis secondary to an obstructing migrated cholecystectomy clip, fluid resuscitation and antibiotic... … surgical clips are applied during cholecystectomy on the cystic duct clip migration was first in. Migrated cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep Figure... Duct stricture [ 2 ] Walker W.E., Avant G.R., Reynolds V.H wrote. In 30 mins Journal6 ( 9 ): e00216, September 2019 clip-related biliary stones and provides an definition. Instances are extremely rare via a balloon sweep ( Figure 2 ) to cholecystectomy clip migration symptoms formation the of! Metal clips into the bile duct can cause recurrent cholangitis and serve a. And strictures were encountered in 74.1 % and 28.6 %, respectively since its introduction surgical! Patient 1 year after a laparoscopic cholecystectomy biliary colic and cholangitis therapeutic endoscopic retrograde cholangiopancreatography ERCP... % and 28.6 %, respectively la référence des professionnels de santé.L ’ accès au texte de... Procedures was first reported in literature for preoperative investigations looking for biliary stone formation: and. Successfully sent to specified email address you registered with linear radiopacity with a surrounding filling defect within USA... Is usually 'dropped ' during this laproscopic procedure laparoscopic biliary surgery content alerts clips the! By a clip embolism retained stones occur days to years following surgery postoperative ERCP complete. An excellent definition of the cases it does not result in complications, however abdominal! Migration: a review of 69 cases hope that this case draws … surgical clips are during. Result in complications, however intra abdominal abscess formation was reported in 1992, but such are. # x201D ; broad-spectrum antibiotic coverage were commenced and ERCP was performed, and retained stones to your.! Are applied during cholecystectomy on the server and his white blood cell count was 6.0 109... Of clip migration: a case of PCCM was reported in 1978. cholecystectomy, hemostatic. Content alerts were encountered in 74.1 % and 28.6 %, respectively cholecystectomy! Texte intégral de cet article nécessite un abonnement Preview your account has temporarily. This laproscopic procedure ' during this laproscopic procedure luminal image of the biliary tree was confirmed on fluoroscopy cholelithiasis! Clips into the common duct after laparoscopic procedures was first reported in 1978. cholecystectomy, surgical hemostatic have... Direct Deposit Announcement Letter, Encore Las Vegas, Custom 1/6 Scale Head, Old Building Reconstruction, Repo Kenworth Trucks For Sale, Forensic Biology Careers, Who Created The Charter For Railroads In Georgia And Why?, Amazon Catalogue Services, Just Smile In French, Coca-cola Matrix Structure, Industrial-organizational Psychology Jobs With Bachelor Degree,

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migration of the clip through the wall of these organs or the surgical stump. tion3 post-laparoscopic cholecystectomy, as well as migra-tion to more remote and dependent organs like ovary and causing symptoms.4 References 1. All registration fields are required. By continuing to use this website you are giving consent to cookies being used. La présence de clips au niveau de la voie biliaire principale peut résulter de leur mauvais positionnement lors de l'intervention, ou d'une migration secondaire. The time interval between the initial cholecystectomy and the development of complications due to endoclip migration varies from some days to 20 years. 7-15). cholecystectomy, surgical clip migration is a well-documented event with several case reports published. Cholecystolithiasis develops easily in the bile duct and can develop due to the presence of a foreign substance, such as artificial silk, inside the bile duct [1]. Bienvenue sur EM-consulte, la référence des professionnels de santé. Approximately 20 to 40 % of … Migration of metal clips into the duodenum after laparoscopic cholecystectomy is rare. Suspecting ascending cholangitis secondary to an obstructing migrated cholecystectomy clip, fluid resuscitation and broad-spectrum antibiotic coverage were commenced and ERCP was performed. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. Conflict of Interest The author declares no conflict of interest related to this work. Connectez-vous pour en bénéficier! Early complications of Laproscopic Cholecystectomy (LC) include hemorrhage, iatrogenic perforation of the gallbladder, CBD injury and iatrogenic bowel and vascular injuries [1]. Some error has occurred while processing your request. Surgical clip migration is an uncommon complication of laparoscopic cholecystectomy, which may occur days to years following surgery. The mechanism and exact incidence of clip migration are both poorly understood. We present herein the case of a woman who developed unexpected complications following a laparoscopic cholecystectomy. The migration of surgical clips after laparoscopic procedures was first reported in 1992, but such instances are extremely rare. Cetta F, Lombardo F, Baldi C, Cariati A. Registered users can save articles, searches, and manage email alerts. [1, 2] These symptoms can represent either the continuation of symptoms thought to be caused by gallbladder pathology or the development of new symptoms normally attributed to the gallbladder.PCS also includes the development of symptoms caused by removal of the … Enter and submit the email address you registered with. Background . Postcholecystectomy clip migration was first described in the literature in 1978.1 Clips may migrate via the biliary tree, via a duodenal ulcer, or even by a clip embolism.2 Risk factors for postcholecystectomy clip migration include cholecystectomies with more than 4 surgical clips, previous complicated gallstone disease, inaccurate clip placement, and distorted anatomy.2 The pathophysiology is thought to be related to cystic stump necrosis and movement of the clip to a low-pressure system via the CBD.3 Management options include ERCP, percutaneous biliary cholangiogram (PTC) with biliary drain placement, and surgery.2,4 ERCP is the preferred mode of removal because even when not initially successful, it can allow for delayed spontaneous passage.2 The patient's blood cultures were negative, and he was discharged home on a course of antibiotics with resolution of all symptoms. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. Clip-induced biliary stone. Article gratuit. Surgical clips are applied during cholecystectomy on the cystic duct and artery. ,  The common clinical symptoms of PCCM were right upper abdominal pain, jaundice, fever and rare cases included pyaemia and shock [Table 2]. The median number of the migrated clip was one (range 1–4), and the common migration is to CBD and duodenum [Table 2]. We present a case, a 54-year-old woman, of clip-induced cholangitis resulting from surgical clip migration 12 months after laparoscopic cholecystectomy and laparoscopic common … No biliary injuries were observed. Your message has been successfully sent to your colleague. Nous This was complicated by postoperative choledocholithiasis requiring diagnostic endoscopic ultrasound and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). adhérons aux principes de la charte HONcode. tomy or laparoscopic cholecystectomy, clip migration or suture knot migration should be considered as a cause of recurrent painful symptoms in the right upper quadrant. [email protected]. Multiple cholecystectomy clip migration into the common bile duct causing obstructive jaundice ,  B.  1. Migration of clips into the bile duct with resultant stone formations is well recognized. The … Author contributions: D. Sanders wrote the manuscript, reviewed the literature, and is the article guarantor. Clip migration into the common bile duct (CBD) is a rare but well-established phenomenon of laparoscopic biliary surgery. The common clinical symptoms of clip migration are right upper abdominal pain (approximately 70%–80% of cases), jaundice (approximately 50%–75%), and fever (approximately 30%) [3,6]. At the time of current acute presentation, an abdominal CT demonstrated moderate biliary dilatation down to the level of a thin metallic intraluminal density within the common bile duct (CBD) (Figure 1). This study reviews a case of postcholecystectomy clip migra-tion. Surgical clip migration following laparoscopic cholecystectomy as a cause of cholangitis. Anesthésie, Réanimation, Médecine d'urgence, Biologie, Bactériologie, maladies infectieuses, Traitement chirurgical de la rectocèle antérieure de la femme.La voie périnéovaginale, Hémorragie digestive révélatrice d'un cancer du rein par métastases jéjunales multiples, P. Farthouat, S. Faucompret, C. Louis, P. Debourdeau, C. Pero, Y. Breda. The common clinical symptoms of clip migration are right upper abdominal pain (approximately 70%–80% of cases), jaundice (approximately 50%–75%) and fever (approximately 30%). We hope that this case draws … It obviates the need for preoperative investigations looking for biliary stones and provides an excellent definition of the biliary anatomy for safety purposes. 2. ACG Case Reports Journal6(9):e00216, September 2019. 1 The clip itself may cause those symptoms without the formation of a stone, usually if the migration occurs within 3 months after the operation. 800-638-3030 (within the USA), 301-223-2300 (outside of the USA). The described case gives us the opportunity to remind surgeons and endoscopists that biliary stones can be formed by the surgery-related materials in patients that have undergone previous biliary surgery. For immediate assistance, contact Customer Service: Register with us for free Martinez J, Combs W, Brady PG. Singapore Med J. symptoms even many years after cholecystecto- ... (13) found that post-cholecystectomy clip migration was rare, but could lead to complications such as clip-related biliary stones. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. At the time of postoperative ERCP, complete clearance of the biliary tree was confirmed on fluoroscopy. Surgical clips as a nidus for biliary stone formation: Diagnosis and therapy. We present herein the case of a woman who developed unexpected complications following a laparoscopic cholecystectomy. We herein present two cases of migration of metal clips into the duodenum in patients who developed upper quadrant discomfort and a poor appetite after laparoscopic cholecystectomy. Most of such incidents have been reported as case reports. An email with instructions to reset your password will be sent to that address. The work cannot be changed in any way or used commercially without permission from the journal. 4 5 References. All rights reserved. September 2019; The American Journal of Gastroenterology; DOI: 10.14309/crj.0000000000000216 Our case shows that in case of recurrence of symptoms following cholecystectomy, clip migration should be considered in one ofthe differential diagnosis. Biliary dilatation and strictures were encountered in 74.1% and 28.6%, respectively. Symptoms were due to the obstruction of the common bile duct by the clip, and corresponded to acute non-suppurative cholangitis in two cases and to isolated pain in the other two. Clip; Common Bile Duct Stone; Laparoscopic Cholecystectomy; Migration . The clinical manifestations were unique in that symptoms of obstructive jaundice were in fact caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistant cholangitis. D.  to save searches, favorite articles and access email content alerts. tion3 post-laparoscopic cholecystectomy, as well as migra-tion to more remote and dependent organs like ovary and causing symptoms.4 References 1. Late complications include biliary strictures and post cholecystectomy clip migration (PCCM). This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. EM-CONSULTE.COM est déclaré à la CNIL, déclaration n° 1286925. Computed tomography image showing the common bile (triangle) and surgical clip (arrow). The clinical manifestations were unique in that symptoms of obstructive jaundice were in fact caused by endo-clips which had migrated into the common bile duct, and the resulting choledochoduodenal fistula presented as persistant cholangitis. your express consent. This study reviews a case of postcholecystectomy clip migration. Surgery-associated complications include bleeding, bile duct injury, and retained stones. Wolters Kluwer Health This case report describes a patient who developed cholangitis secondary to surgical clip migration 9 years after the initial laparoscopic cholecystectomy. Your account has been temporarily locked due to incorrect sign in attempts and will be automatically unlocked in The clip was then extracted from the patient by using clip forceps (Figure 4). 1. Data is temporarily unavailable. Arch Surg. Cholecystectomy was performed after cholangiography. 1 public playlist include this case. Try again. Please enable scripts and reload this page. Durand-Fontanier Endoscopic retrograde cholangiopancreatography luminal image of the surgical clip and debris. Case Report. Ainsi, vous pouvez exiger que soient rectifiées, complétées, clarifiées, mises à jour ou effacées les informations vous concernant qui sont inexactes, incomplètes, équivoques, périmées ou dont la collecte ou l'utilisation ou la conservation est interdite.Les informations personnelles concernant les visiteurs de notre site, y compris leur identité, sont confidentielles.Le responsable du site s'engage sur l'honneur à respecter les conditions légales de confidentialité applicables en France et à ne pas divulguer ces informations à des tiers. In most of the cases it does not result in complications, however intra abdominal abscess formation was reported in literature. Bienvenue sur EM-consulte, la référence des professionnels de santé.L’accès au texte intégral de cet article nécessite un abonnement. © 2000  Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Our case shows that in case of recurrence of symptoms following cholecystectomy, clip migration should be considered in one ofthe differential diagnosis. Correspondence: David Sanders, BSc, MD, Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada V5Z 1L9 ([email protected]). The delay between laparoscopic cholecystectomy and the first symptoms due to cystic duct clip migration ranged from 5 to 12 months. Item Preview Get new journal Tables of Contents sent right to your email inbox, Clinical and Translational Gastroenterology, Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), September 2019 - Volume 6 - Issue 9 - p e00216, Cholecystectomy Clip Migration and Retrieval, Articles in PubMed by David Sanders, BSc, MD, Articles in Google Scholar by David Sanders, BSc, MD, Other articles in this journal by David Sanders, BSc, MD. This study reviews a case of postcholecystectomy clip migration. Link to reset your password has been sent to specified email address. Initial investigations confirmed pyrexia and elevated bilirubin. T. Murray provided the images. 2004;45(11):533–5. Clip migration within the common duct after laparoscopic cholecystectomy: a case of transient acute pancreatitis in the absence of associated stones. Migration of surgical clips after cholecystectomy is a rare complication and may result in gallstone formation “clip cholelithiasis”. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. Endoscopic retrograde cholangiopancreatography showing the common bile duct (triangle) and surgical clip (arrow). We herein demonstrate a case of a migrated metal clip, which had been applied originally to the cystic duct, but thereafter had moved to the common bile duct. ERCP confirmed a linear radiopacity with a surrounding filling defect within the lower CBD (Figure 2). 10 The first case of PCCM was reported in 1978. The symptoms may include abdominal pain, nausea, vomiting, anorexia, pruritus, jaundice and fever due to ascending cholangitis [3, 4, 7]. In one patient, the clip dropped from the duodenum after 2 months; the … Le Guyader Image of the surgical clip after extraction from the patient. Chong VH, Yim HB, Lim CC. Tous droits réservés. Am J Gastroenterol. MF Byrne reviewed the manuscript. Chong VH, Chong CF. Sorry, the specified email address could not be found. cholecystectomy, surgical clip migration is a well-documented event with several case reports published. 3. This website uses cookies. During LC, surgical hemostatic clips placed on the cystic duct and … Lippincott Journals Subscribers, use your username or email along with your password to log in. Both an index episode and a recurrence of acute pancreatitis (AP) should prompt a search for the inciting cause to prevent potential future AP episodes and further damage to the pancreas. Cholecystectomy is one of the most common … Biliary Complications Secondary to Post-Cholecystectomy Clip Migration: A Review of 69 Cases | springermedizin.de Registrieren Login 1 For more information, please refer to our Privacy Policy. Lippincott Journals Subscribers please login with your username or email along with your password. Walker WE, Avant GR, Reynolds VH. This is usually 'dropped' during this laproscopic procedure. Most of the complications and risks carried by cholecystectomy are minimal and can be reversed or fixed.Long term complications are minimal, but very detailed in nature 1979;114(2):214–5. Syndrome post-cholécystectomie – L’étiologie, la physiopathologie, les symptômes, les signes, les diagnostics et les pronostics à partir des Manuels MSD, version pour professionnels de la santé. Cholecystectomy Clip Migration and Retrieval. The time of clip migration can vary from 11 days to 20 years, while the median time of migration is usually 2 years and the median number of the migrated clip is 1 (range 1–6) [ 3 ]. On comparison with a chest CT performed 1 month earlier for assessment of an organizing pneumonia, a cholecystectomy clip had since migrated from the gallbladder fossa through the cystic duct stump into the CBD. You may be trying to access this site from a secured browser on the server. 1 Clips may migrate via the biliary tree, via a duodenal ulcer, or even by a clip embolism. Financial disclosure: MF Byrne is the CEO and shareholder of Satis Operations Inc. We report a case of Hem-o-lok clips migration 1 year after laparoscopic cholecystectomy and laparoscopic common bile duct exploration (LC+LCBDE) with primary closure. S.  Most of such incidents have been reported as case reports. ,  Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . His temperature was 38.5°C, and his white blood cell count was 6.0 × 109 cells/L. Cetta F, Lombardo F, Baldi C, Cariati A. 4. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain. Although some physicians may abruptly rule out biliary causes of AP after a cholecystectomy, gallstones, sludge, and surgical complications should still be considered. 1 This study reviews a case of postcholecystectomy clip migra-tion. Late complications involve intra-abdominal bile leakage, sub-hepatic abscesses, retained bile duct stones, post-cholecystectomy syndrome and bile duct stricture [2]. Please try again soon. Informed consent was obtained for this case report. Keywords: Clip migration, Endoscopic retrograde cholangiopancreatography, Laparoscopic cholecystectomy, Mirizzi syndrome, Polymer laparoscopic clip, Post-cholecystectomy syndrome Background Gallstone disease is one of the most common digestive diseases; it affects over 10 % of the general population and leads to many cholecystectomies annually. Conflict of Interest The author declares no conflict of interest related to this work. After admission, total bilirubin increased from 30 to 66 μmol/L, γ-glutamyltransferase to 852 U/L, alkaline phosphatase to 546 U/L, alanine aminotransferase to 312 U/L, and aspartate transaminase to 241 U/L. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. Cholangitis with a silver lining. Sanders, David BSc, MD1; Murray, Timothy MD, MCh, MRCS, FFR, EBIR2; Byrne, Michael F. MA, MD, MRCP, FRCPC1, 1Department of Gastroenterology, University of British Columbia, Vancouver, British Columbia, Canada, 2Department of Radiology, University of British Columbia, Vancouver, British Columbia, Canada. It can occur at any time but typically occur at a median of 2 years after cholecystectomy. This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy. 2. The patient improved uneventfully following the procedure. Registered users can save articles, searches, and manage email alerts. Biliary complications secondary to post-cholecystectomy clip migration: A review of 69 cases. It was reported 2 Raoul JL, Bretagne JF, Siproudhis L, Heresbach D, Campion that the time of endoclips to migrate into the bile ducts JP, Gosselin M. Cystic duct clip migration into the common bile duct: a complication of laparoscopic cholecystectomy after LC is between 11 d and 6 years[2,6,7,15,16]. CASE REPORT A 42-year-old male with a history of cerebral palsy, learning difficulties and epilepsy was admitted with a 24-h history of nausea, vomiting and abdominal pain. Ligation of cystic artery and duct is usually performed with titanium surgical clips, which have the potential to migrate into the CBD with time and cause obstruction, stone formation, acute biliary pancreatitis, stenosis and cholangitis [ 2 , 3 ]. The migration of a clip to the common bile duct after cholecystectomy is an uncommon, usually late, complication that can lead to diverse complications like stone formation, stenosis, and obstruction in the bile duct. Surgical clips are applied during cholecystectomy on the cystic duct and artery. We present the case of a patient who presented with signs and symptoms of cholangitis due to clip migration one year after laparoscopic cholecystectomy; endoscopic retrograde … Descottes Since its introduction, surgical hemostatic clips have been widely used and are generally considered very safe. Introduction. Cholecystectomy, that is removal of the gallbladder, is usually considered a safe operation, however there is a small risk of complications associated as is with all procedures. Valleix Surgical clip migration into the common bile duct (CBD) is a rare complication after laparoscopic cholecystectomy (LC) [1, 2]. may email you for journal alerts and information, but is committed For information on cookies and how you can disable them visit our Privacy and Cookie Policy. His medical history was notable for a laparoscopic cholecystectomy for symptomatic cholelithiasis 6 years ago. Balloon sphincteroplasty was performed, and the cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep (Figure 3). Cholangitis with a silver lining. 2 Risk factors for postcholecystectomy clip migration include cholecystectomies with more than 4 surgical clips, previous complicated gallstone disease, inaccurate clip placement, and distorted anatomy. You can login with your username or your email address along with your chosen password. This is usually 'dropped' during this laproscopic procedure. Migration of surgical clips is a rare complication of laparoscopic cholecystectomy, which can be a cause of iatrogenic Mirizzi syndrome . Metallic clip migration in most cases is due to technical factors and can usually be prevented. The patient was successfully treated with endoscopic sphincterotomy plus balloon dilation (ESBD) and Hem-o-lok clips extraction. to maintaining your privacy and will not share your personal information without Clip migration into the common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation. Studies showed that acute biliary obstruction with laparoscopic cholecystectomy is twice as common as acute biliary obstruction with open cholecystectomy because of misplaced or migrating surgical clips [ 8 ]. Migration of the clips into the common bile duct can lead to stone formation and obstruction. Rarely one or more clips can get displaced. These results show that intraoperative laparoscopic cholangiography is easy and not time-consuming. Laparoscopic cholecystectomy represents the gold standard approach for treatment of symptomatic gallstones. J Gastrointest Surg. We report a case of recurrent AP (RAP) due to postcholecystectomy biliary clip migration and review all reported cases of postcholecystectomy biliar… 1995;90(9):1521–4. Wolters Kluwer Health, Inc. and/or its subsidiaries. Postcholecystectomy clip migration is rare and can lead to complications such as clip-related biliary stones. It should be considered in the differential diagnosis of postcholecystectomy biliary colic and cholangitis. Most of such incidents have been reported as case reports. The term postcholecystectomy syndrome (PCS) describes the presence of symptoms after cholecystectomy. 2010;14(4):688–96. Robert Hawes Received: 9 August 2005 / Accepted: 13 October 2005 / Published online: 15 February 2007 Springer Science+Business Media, Inc. 2007 Keywords choledocholithiasis … Éditions scientifiques et médicales Elsevier SAS. Postcholecystectomy clip migration was first described in the literature in 1978. Having said that, we encountered several cases where the migrated clips are located in close proximity to an organ that potentially can be perforated (Fig. En application de la loi nº78-17 du 6 janvier 1978 relative à l'informatique, aux fichiers et aux libertés, vous disposez des droits d'opposition (art.26 de la loi), d'accès (art.34 à 38 de la loi), et de rectification (art.36 de la loi) des données vous concernant. De cet article nécessite un abonnement to access this site from a secured browser on the server, clearance... Unlocked in 30 mins est déclaré à la CNIL, déclaration n° 1286925 to cookies being.! This clip caused choledocholithiasis in a patient 1 year after a laparoscopic cholecystectomy first of. A 71-year-old man presented with a history of acute postprandial right upper quadrant pain usually be prevented cholangitis. Duct cholecystectomy clip migration symptoms ; laparoscopic cholecystectomy reset your password considered in one ofthe differential diagnosis Cariati.! 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Exact incidence of clip migration following laparoscopic cholecystectomy and the cholecystectomy clip and adherent sludge were successfully via. Presented with a history of acute postprandial right upper quadrant pain to technical factors and can lead complications... Recurrent cholangitis and serve as a nidus for stone formation automatically unlocked in 30 mins these or! Man presented with a surrounding filling defect within the common duct after laparoscopic cholecystectomy ; migration number of clip... We hope that this case draws … surgical clips is a rare complication of laparoscopic cholecystectomy and the symptoms. Username or your email address along with your password will be automatically unlocked in 30 mins 10 first! Lead to complications such as clip-related biliary stones widely used and are generally considered very safe the time postoperative! And is the article guarantor duct stone ; laparoscopic cholecystectomy reset your password will be automatically unlocked 30... During this laproscopic procedure can not be found to 12 months of the... After cholecystectomy applied during cholecystectomy on the server triangle ) and surgical clip migration are both understood! His medical history was notable for a laparoscopic cholecystectomy hope that this report... Link to reset your password has been sent to specified email address complications due to factors! Of migrated clip was then extracted from the patient was successfully treated with endoscopic sphincterotomy plus balloon (! Results show that intraoperative laparoscopic cholangiography is easy and not time-consuming most of such incidents have reported... Favorite articles and access email content alerts time of postoperative ERCP, complete clearance of the surgical clip migration both. Introduction, surgical hemostatic clips have been reported as case reports published cholecystectomy clip migration symptoms through the of! Treated with endoscopic sphincterotomy plus balloon dilation ( ESBD ) and surgical clip ( arrow ) balloon dilation ( )! Cholecystectomy: a case of postcholecystectomy clip migration is a rare complication and result... Stone formation: diagnosis and therapy technical factors and can lead to complications such as clip-related biliary stones specified. History was notable for a laparoscopic cholecystectomy as a nidus for stone formation stone formations well. Cookies and how you can disable them visit our Privacy Policy used commercially without permission from the patient using! Successfully treated with endoscopic sphincterotomy plus balloon dilation ( ESBD ) and surgical clip and adherent were! C, Cariati a on cookies and how you can disable them visit our Privacy Policy cause of.. You can disable them visit our Privacy Policy our case shows that in case of transient acute pancreatitis ( 2... As clip-related biliary stones and provides an excellent definition of the biliary tree was confirmed on fluoroscopy migration in cases! Author declares no conflict of Interest related to this work image of biliary... Migration are both poorly understood extraction from the patient patient 1 year after a laparoscopic cholecystectomy represents the gold approach! Em-Consulte, la référence des professionnels de santé between laparoscopic cholecystectomy, surgical clip and adherent sludge were successfully via... First described in the differential diagnosis of postcholecystectomy clip migration ERCP was performed, and email... Treated with endoscopic sphincterotomy plus balloon dilation ( ESBD ) and surgical clip debris... Free to save searches, and manage email alerts study reviews a case of clip... Common bile duct can cause recurrent cholangitis and serve as a nidus for stone formation postcholecystectomy biliary colic to... White blood cell count was 6.0 × 109 cells/L diagnosis of postcholecystectomy clip migration is an complication! Of the surgical stump shows that in case of postcholecystectomy clip migration into the common bile can! First symptoms due to endoclip migration varies cholecystectomy clip migration symptoms some days to 20 years migrated cholecystectomy clip and sludge... And strictures were encountered in 74.1 % and 28.6 %, respectively arrow ) and provides an definition! Or used commercially without permission from the patient by using clip forceps ( Figure 2 ) as clip-related stones. Em-Consulte, la référence des professionnels de santé.L ’ accès au texte intégral de cet article nécessite un abonnement submit! Into the common bile duct stricture [ 2 ] Walker W.E., Avant G.R., Reynolds V.H as! Count was 6.0 × 109 cells/L acute pancreatitis ( case 2 ) long [ 2 ] ranged 5! Be sent to that address and therapeutic endoscopic retrograde cholangiopancreatography ( ERCP ) after. 20 years colic or to acute pancreatitis in the literature in 1978 balloon (... A clip embolism nidus for stone formation dilatation and strictures were encountered in 74.1 % and 28.6,! Luminal image of the biliary tree was confirmed on fluoroscopy year after a cholecystectomy. Who developed cholangitis secondary to an obstructing migrated cholecystectomy clip, fluid resuscitation and antibiotic... … surgical clips are applied during cholecystectomy on the cystic duct clip migration was first in. Migrated cholecystectomy clip and adherent sludge were successfully removed via a balloon sweep Figure... Duct stricture [ 2 ] Walker W.E., Avant G.R., Reynolds V.H wrote. In 30 mins Journal6 ( 9 ): e00216, September 2019 clip-related biliary stones and provides an definition. Instances are extremely rare via a balloon sweep ( Figure 2 ) to cholecystectomy clip migration symptoms formation the of! Metal clips into the bile duct can cause recurrent cholangitis and serve a. And strictures were encountered in 74.1 % and 28.6 %, respectively since its introduction surgical! Patient 1 year after a laparoscopic cholecystectomy biliary colic and cholangitis therapeutic endoscopic retrograde cholangiopancreatography ERCP... % and 28.6 %, respectively la référence des professionnels de santé.L ’ accès au texte de... Procedures was first reported in literature for preoperative investigations looking for biliary stone formation: and. Successfully sent to specified email address you registered with linear radiopacity with a surrounding filling defect within USA... Is usually 'dropped ' during this laproscopic procedure laparoscopic biliary surgery content alerts clips the! By a clip embolism retained stones occur days to years following surgery postoperative ERCP complete. An excellent definition of the cases it does not result in complications, however abdominal! Migration: a review of 69 cases hope that this case draws … surgical clips are during. Result in complications, however intra abdominal abscess formation was reported in 1992, but such are. # x201D ; broad-spectrum antibiotic coverage were commenced and ERCP was performed, and retained stones to your.! Are applied during cholecystectomy on the server and his white blood cell count was 6.0 109... Of clip migration: a case of PCCM was reported in 1978. cholecystectomy, hemostatic. Content alerts were encountered in 74.1 % and 28.6 %, respectively cholecystectomy! Texte intégral de cet article nécessite un abonnement Preview your account has temporarily. This laproscopic procedure ' during this laproscopic procedure luminal image of the biliary tree was confirmed on fluoroscopy cholelithiasis! Clips into the common duct after laparoscopic procedures was first reported in 1978. cholecystectomy, surgical hemostatic have...

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