摘要
血管损伤是与腹腔镜胆囊切除胆管损伤相关的严重并发症，其发生率为6．7％～61．1％。损伤最多的是肝右动脉。血管损伤后不一定有症状，但严重者近期表现为肝缺血、坏死，远期可导致胆管狭窄、肝萎缩等。有的患者血管损伤后需行肝切除甚至肝移植治疗，因此对早期发现的血管损伤，必要时应做血管重建。
Vascular injury is a severe complication when combined with biliary injuries in laparoscopic cholecystectomy. The most frequent injury is damage to the right branch of the hepatic artery. The incidence ranges between 6.7 % and 61. 1 %. When bile duct transection is combined with vascular injury, the clinical course is complicated by liver ischaemia or necrosis, biliary stricture, and liver lobar atrophy which sometimes necessitating liver resection or even transplantation. Reconstruction of vascular injury is helpful when the injury is identified early.
出处
《中华肝胆外科杂志》
CAS
CSCD
北大核心
2011年第8期688-690,共3页
Chinese Journal of Hepatobiliary Surgery
关键词
腹腔镜胆囊切除
胆管损伤
血管损伤
血管重建
Laparoscopic cholecystectomy
Bile duct injury
Vascular lesion
Reconstruction of the vascular
