摘要
目的：探讨经腹腔镜胆囊切除术致胆道损伤发生的原因、治疗方法与预防措施。方法：收治完成经腹腔镜胆囊切除术并发生胆道损伤患者43例。结果：急诊手术31例(72.1%)，择期手术12例(27.9%)。术中发现胆道损伤27例(62.8%)，术后发现胆道损伤16例(37.2%)；分别行胆道修补、重建、胆肠吻合、胆道支撑等胆道修复方式，其中2例术后再发胆道狭窄，肝衰竭死亡1例，术后随访3个月～5年，优良率90.7%(39/43)。结论：腹腔镜胆囊切除术致胆道损伤的原因与局部解剖变异因素、病理因素、术者技术因素有关。
Objective:To investigate the causes,treatment and preventive measures of bile duct injury caused by laparoscopic cholecystectomy.Methods:43 patients with laparoscopic cholecystectomy reduced bile duct injury were selected. Results:There were 31 cases(72.1% ) in the emergency operation,12 cases(27.9% ) in the elective surgery.27 cases(62.7% ) of bile duct injury were found during the operation,and 16 cases(37.2% ) were found after the operatio.All those patients were treated with biliary reconstruction and repair,biliary enteric anastomosis,biliary tract support in bile duct reconstruction method respectively,in which there 2 cases recurrent biliary stricture after the operation,1 case died of liver failure,and the other patients were followed up from 3 months to 5 years.The excellent and good rate was 90.7% (39/43).Conclusion:Bile duct injury caused by laparoscopic cholecystectomy are related to the local anatomical variation,pathological factors and the technical factors.
作者
贾廷印
Jia Tingyin(The First Affiliated Hospital of Nanyang Medical College,473000)
出处
《中国社区医师》
2016年第10期187-188,共2页
Chinese Community Doctors
关键词
腹腔镜
胆囊切除
胆道损伤
Laparoscope
Cholecystectomy
Bile duct injury
