摘要
目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中胆道损伤的原因、类型、修复方式与预后的关系。方法:对1995年至2006年间因行LC导致胆管损伤6例患者的临床资料进行回顾性分析。结果:5例胆管损伤在术中及时发现并立即处理,其中4例治愈,1例术后1月T管脱落,发生胆管吻合口狭窄,经再次行胆肠Roux-en-Y吻合术治愈;1例胆管壁电热伤,术后发生腹腔、胆道出血,再次手术探查示胆管壁坏死,放置T管支架治愈。结论:LC胆管损伤处理应依据胆管损伤原因、类型,采取正确的处理方式,方可取得良好的远期效果。
Objective：To explore the reason and type for bile duct injury and the prognosis of repair procedure of injuried bile duct.Methods：The clinical data of 6 cases with bile duct injury during laparoscopic cholecystectomy（LC）from 1995 to 2006 were retrospectively analyzed.Results：Bile duct injury was found in 5 cases during operation and was treated immediately,four cases were cured and T pipe slided out in one case one month late after LC,then biliary duct anastomotic stenosis occurred and was cured by biliary-enteric anartomotic Roux-en-Y;gallbladder wall electric injury and biliary postoperative hemerrhage,occurred in 1 case,bililary duct wall necrosis was found when exploration was performed,which was cured by placing T pipe.Conclusions：If we deal with the injuried bile duct based on its reason and type,we could achieve satifactory long-term effect.
出处
《腹腔镜外科杂志》
2007年第4期338-339,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
胆管损伤
预后
Cholecystectomy,laparoscopic
Bile duct injury
Prognosis
