摘要
目的探讨腹腔镜胆囊切除(LC)胆管损伤的原因、预防及处理原则。方法回顾分析2463例LC临床资料,其中发生胆管损伤5例,全组均行剖腹探查,4例行一期修补及引流术,一例行胆管引流术。结果死亡一例。治愈4例,随访1-6年,无胆管梗阻症状。结论重视LC胆管损伤的预防,正确解剖Calot三角、灵活应用手术技巧、适当放宽中转手术的指征,可降低LC胆管损伤的发生率。
Objective To study the cause, prevention and treatment of bile duct injury during laparoscopic cholecystectomy（LC ） . Methods Retrospective analysis on clinical data of 2463 cases with LC was carried out. Five of them complicated with bile duct injury and underwent laparotomy. Immediate repair and drainage were done in 4 and drainage only in one. Results Four were saved without bile duct obstruction in follow up from 1 to 6 years. One patient died. Conclusions More attention should be paid to prevent bile duct injury. Correctly dissect the Calot triangle, nimbly mobilize the operative techniques and properly loose the indication for laparotomy may reduce bile duct injury in LC.
