摘要
目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)胆管损伤的预防和治疗。方法:回顾性分析近13年来行腹腔镜胆囊切除术5000例患者的临床资料。结果:胆管损伤11例(外院5例),术中发现8例,术后早期发现3例。分别行腹腔引流;胆总管空肠Roux-y吻合;胆总管探查、T管引流;胆总管端端吻合,T管支架引流等处理方法,所有患者均痊愈出院。结论:腹腔镜胆囊切除术胆管损伤后术中及术后早期发现和恰当的处理,愈合良好。
Objective：To explore the preventions and treatments of iatrogenic bile duct injury（BDI） of laparoscopic chole- cystectomy （LC）. Methods ：A total of 5 000 patients undergoing laparoscopic cholecystectomy in our department during the last 13 years were included in tiffs study for retrospective analysis. Results：There were 16 BDIs associated with LC. A total of 8 BDI patients were diagnosed during cholecystectomy. The remaining 8 BDI patients were diagnosed postopera- tively. BDI patients were treated by repairing the injuried common bile duet with a T-tube drainage or end-to-end anasto- mosis of injuried bile duct, Roux-en-Y hepatieojejunostomy. Good results were achieved in all of these patients. Conclu- sions：Good results can be achieved if BDI is diagnosed early and treated properly during or after operation.
出处
《赣南医学院学报》
2010年第4期578-579,共2页
JOURNAL OF GANNAN MEDICAL UNIVERSITY
关键词
腹腔镜胆囊切除术
胆管损伤
防治
laparoscopic eholecystectomy
bile duct injury
prevention and treatment
