South Clin Ist Euras. 2016; 27(2): 165-168 | DOI: 10.14744/scie.2017.58234

Gallbladder Injury During Percutaneous Nephrolithotomy

Ramazan Kozan¹, Alp Yýldýz², Osman Kurukahvecioðlu², Orhan Bayram^2
1Eren Hospital, Clinic Of General Surgery, Istanbul, Turkey
²Gazi University Faculty Of Medicine, Department Of General Surgery, Ankara, Turkey

Percutaneous nephrolithotomy (PCNL) is an effective and minimally invasive method used for the treatment of kidney stones in selected patients. Some complications can occur with this method as in any surgical procedure. We report the laparoscopic diagnosis and treatment of a rare case of gallbladder perforation which occurred during percutaneous nephrolithotomy. Although it is a rare complication, biliary tract injury should be considered in patients with peritonitis after PCNL. Laparoscopic surgery can provide both diagnosis and minimally invasive treatment for cases in whom exact location of injury could not be determined with radiographic examinations.

Keywords: Gallbladder injury, laparoscopic cholecystectomy, percutaneous nephrolithotomy.

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Perkütan Nefrolitotomi Sýrasýnda Geliþen Safra Kesesi Yaralanmasý

Ramazan Kozan¹, Alp Yýldýz², Osman Kurukahvecioðlu², Orhan Bayram^2
1Eren Hastanesi, Genel Cerrahi Kliniði, Ýstanbul
²Gazi Üniversitesi Týp Fakültesi, Genel Cerrahi Anabilim Dalý, Ankara

Perkütan nefrolitotomi (PNL) uygun hastalarda böbrek taþý tedavisinde kullanýlan etkin ve minimal invaziv bir yöntemdir. Her cerrahi iþlemde olduðu gibi bu yöntemde de bazý komplikasyonlarýn oluþabilmesi söz konusudur. Bu yazýda, oldukça nadir görülen perkütan nefrolitotomi esnasýnda oluþmuþ safra kesesi perforasyonu olgusunun laparoskopik taný ve tedavisi sunuldu. Ýþlem sonrasý karýnda peritonit bulgularý geliþen hastalarda ender bir komplikasyon olsa da biliyer sistem yaralanmasý ihtimali göz önünde tutulmalýdýr. Radyolojik yöntemler ile yaralanmanýn tam olarak lokalize edilemediði vakalarda laparoskopik yaklaþým hem kesin taný hem de etkin minimal invaziv tedavi olanaðý verebilmektedir.

Anahtar Kelimeler: Safra kesesi yaralanmasý, laparoskopik kolesistektomi, perkütan nefrolitotomi.

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