Analysis on Missed Diagnosis of Periampullary Tumor in Five Cases of Cholecystolithiasis / 中国微创外科杂志

ABSTRACT

Objective To explore the diagnosis and treatment of cholecystolithiasis accompanying periampullary tumor.Methods A retrospective analysis was performed with clinical data of 5 patients with cholecystolithiasis complicated with periampullary tumor among the 2680 patients receiving laparoscopic cholecystectomy(LC)in our hospital from May 1994 to March 2006.Results Pain in epigastrium,icteric sclera and skin were found in all 5 patients 0.5-17 months after LC.Neoplasms in ampulla were found in re-hospitalization,and periampullary tumor was diagnosed,which were missed in the first operation.Conclusions Improving the knowledge of cholecystolithiasis complicated with periampullary tumor,performing various auxiliary investigations,and reinforcing postoperative follow-up are beneficial for avoidance of missed diagnosis of periampullary tumor,and for early diagnosis and treatment.