结果脾损伤与胃癌根治术，胃十二指肠手术，结肠造瘘术等有关，纤维肠镜和心肺变苏时也可引起脾损伤。

Results The causes of iatrogenic splenic injury included undergoing an operation of gastric carcinoma and duodenal ulcer. Colonoscopy and cardiopulmonary resuscitation were also risk factors.

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前言： 目的：探讨胆囊结石合并胆囊结肠瘘或胆囊十二指肠瘘的原因及腹腔镜手术治疗。

Objective:To explore the etiology and treatment of cholecystolithiasis combined with cholecystocolonic fistula or cholecystoduodenal fistula.

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