BACKGROUND Cholecystectomy is a common elective procedure for cholecystic diseases,including cholecystitis and cholelithiasis.Common bile duct injury is a major complication in both open and laparoscopic cholecystecto...BACKGROUND Cholecystectomy is a common elective procedure for cholecystic diseases,including cholecystitis and cholelithiasis.Common bile duct injury is a major complication in both open and laparoscopic cholecystectomy(LC).The number of cholecystectomies performed has increased due to popularization and application of the laparoscopic technique,which has led to an increase in the number of bile duct injuries.CASE SUMMARY A 65-year-old man presented to the General Surgery Department with a complaint of repeated right upper quadrant pain for 2 years that had worsened over the previous day.The patient had a history of gallstones and hypertension.A LC was performed;it was found that a biliary stricture of 53 h duration was caused by a ligature injury of the common bile duct during the LC.Another laparoscopic exploration was performed,and the stricture was released.CONCLUSION LC is a common surgical procedure,but if a complication occurs,it is important for the surgeon to consider another exploratory surgery.展开更多
Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause p...Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause potentially, life-threatening hemorrhage but also need profound surgical expertise in man- agement. Development of collateral circulation in neck is well known： however, there is scarcity of literature on the role of collateral formation in neck trauma. Here, we present a unique case of pene- trating gunshot injury to neck with right common carotid and right subclavian artery injury with hemorrhagic shock managed with ligation of these vessels as a life-saving procedure. The patient pre- sented ~ith no neurological or motor de~,cits in immediate postoperative period owing to the collateral circulation between right vertebral artery and right common carotid and right subclavian artery.展开更多
激烈晃动婴幼儿的头部会致其于死地。这在本文被称为shaken impact syndrome,是否可以译成:晃动效果综合症。在1997年和1999年美国曾经发生了英国保姆以如此手段使两个婴儿致死的轰动一时的惨案。但是,本报道的重点并非在于此,因为: Sha...激烈晃动婴幼儿的头部会致其于死地。这在本文被称为shaken impact syndrome,是否可以译成:晃动效果综合症。在1997年和1999年美国曾经发生了英国保姆以如此手段使两个婴儿致死的轰动一时的惨案。但是,本报道的重点并非在于此,因为: Shaking impact syndrome is the commonest cause of infant death from head injuries and the most serious cause of child abuse. 我将此文推荐给贵刊的目的是前者,而非后者。激烈晃动婴儿的头部会导致head injuries, 而head injuries又是the commonest cause of infant death.】展开更多
基金Supported by National Natural Science Foundation of China,No.81701965。
文摘BACKGROUND Cholecystectomy is a common elective procedure for cholecystic diseases,including cholecystitis and cholelithiasis.Common bile duct injury is a major complication in both open and laparoscopic cholecystectomy(LC).The number of cholecystectomies performed has increased due to popularization and application of the laparoscopic technique,which has led to an increase in the number of bile duct injuries.CASE SUMMARY A 65-year-old man presented to the General Surgery Department with a complaint of repeated right upper quadrant pain for 2 years that had worsened over the previous day.The patient had a history of gallstones and hypertension.A LC was performed;it was found that a biliary stricture of 53 h duration was caused by a ligature injury of the common bile duct during the LC.Another laparoscopic exploration was performed,and the stricture was released.CONCLUSION LC is a common surgical procedure,but if a complication occurs,it is important for the surgeon to consider another exploratory surgery.
文摘Neck, being not protected by skeleton, is vulnerable to external trauma and injury which involves blood vessels, trachea, esophagus and other endocrine and nervous system organs. Vascular injuries can not only cause potentially, life-threatening hemorrhage but also need profound surgical expertise in man- agement. Development of collateral circulation in neck is well known： however, there is scarcity of literature on the role of collateral formation in neck trauma. Here, we present a unique case of pene- trating gunshot injury to neck with right common carotid and right subclavian artery injury with hemorrhagic shock managed with ligation of these vessels as a life-saving procedure. The patient pre- sented ~ith no neurological or motor de~,cits in immediate postoperative period owing to the collateral circulation between right vertebral artery and right common carotid and right subclavian artery.
文摘激烈晃动婴幼儿的头部会致其于死地。这在本文被称为shaken impact syndrome,是否可以译成:晃动效果综合症。在1997年和1999年美国曾经发生了英国保姆以如此手段使两个婴儿致死的轰动一时的惨案。但是,本报道的重点并非在于此,因为: Shaking impact syndrome is the commonest cause of infant death from head injuries and the most serious cause of child abuse. 我将此文推荐给贵刊的目的是前者,而非后者。激烈晃动婴儿的头部会导致head injuries, 而head injuries又是the commonest cause of infant death.】
