摘要
目的总结腹腔镜胆囊切除术(LC)特点、类型、诊断和处理的经验教训。方法回顾性分析27例LC胆管损伤的诊治情况。结果在27例患者中,胆总管横断3例,肝总管横断8例,肝总管壁损伤13例,右副肝管损伤2例,右肝管损伤1例。按Bismuch分型:I型10例,II型8例,III型5例,IV型2例,V型2例。行修补术者13例,断端吻合者7例。胆肠Roux-en-y吻合术7例。结论LC发生胆道损伤的几率比OC高,情况复杂、较为隐蔽、损伤位置较高。
Objective To summarize the experience in characteristics,types, diagnosis and management of bile duct injury in laparoscopic choleeystectrny （LC）. Methods the clinical data of 27 patients with bile duct injury in LC diagosised and managed in our hospital were retrospectively analyzed. Results Of the 27 patients, 3 suffered from transverse injury of the choledoch, 8 from transverse injury of the common hepatic duct, 13 from injury of the choledochal wall, 2 from subsidiary right hepatic duct injury, one patient had fight hepatic duct injury. Typed by BismuCh , of the 27 patients, type I had 10 cases, type Ⅱ 8 cases, type Ⅲ 5 cases , type Ⅳ 2 cases , and type Ⅴ had two cases.13 patients underwent the billiard repair. 7 patients underwent the choledochocholedochostomy. 7patients underwent the cholangiojejunostomy. Conclusions LC is more Possible than OC （open cholecystectomy） to result in bile duct injury. Early finding and early management in therapy should be taken according to the surgery. If possible, try best to keep the bile duct intact and take biliary repair or choledochocholedochostomy.
出处
《宁夏医学杂志》
CAS
2006年第9期665-666,共2页
Ningxia Medical Journal
关键词
腹腔镜胆囊切除术
胆管损伤
Laparoscopic Cholecystectomy
Bile duct injury
