摘要
目的 探讨少见的胆囊及胆囊管解剖变异类型及其临床意义。方法 对 11年间收治的43 2例经腹行胆囊切除术中的 8例少见的胆囊及胆囊管解剖变异者的临床资料进行回顾性分析。结果 8例中双胆囊 1例 ,左位胆囊 1例 ,胆囊管肝总管并行 2例 ,胆囊管开口于胆总管前壁 1例 ,双胆囊管 1例 ( 1管汇入胆总管、1管汇入肝总管 ) ,胆囊肝管 1例 ,右副肝管汇入胆囊管 1例。 4例患者术后发生并发症 ( 5 0 .0 % )。结论 提高对肝外胆道解剖变异的认识 ,仔细解剖胆囊三角 ,认真辨认胆囊动脉及胆囊管 ,妥善处理胆囊动脉及胆囊管、“粘连带”是降低胆囊切除术并发症的关键。
Objective To explore the types and the clinical value of the abnomalities of the gallbladder and cystic duct. Methods The clinical date of the 8 cases associated with the abnomalities of the gallbladder and cystic duct among the 432 patients who underwent cholecystectomy in our department since 1990 January were analyzed relrospectively. Results Of the 8 cases ,1 case was discovered as gallbladder duplication, 1 as left-sided gallbladder, 2 as cystic duct parallel to CBD ,1 as cystic duct joining to the anterior wall of CBD,1 as double cystic ducts (one duct joining to the common hepatic duct, the other joining to CBD ),1 as gallbladder hepatic duct ,1 as right accessory hepatic duct joining to the cystic duct. 4 patients(50.0%) developed postoperative complications.Conclusions The keys to reduce the morbidity rate of cholecystectomy are carefully assessment and dissection of the Calot′s triangular area, correct management of the cystic duct ,cystic artery ,and the 'adhesions'.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第8期609-611,共3页
China Journal of General Surgery
