摘要
目的:探讨腹腔镜胆囊切除术(LC)中胆总管损伤的原因及预防。方法:回顾性总结我院1 260例LC患者的临床资料,并结合文献分析。结果:1 260例LC中6例发生胆管损伤,发生率为0.48%;其中胆管横断伤2例,胆总管损伤1例,副肝管损伤1例,肝总管撕裂伤1例,电灼伤迟发性肝总管穿孔1例。结论:LC术中仔细解剖,确认重要解剖标志,清晰显露Calot三角区各个管状结构防止盲目电凝,果断中转开腹是预防胆管损伤的有效措施。
Objective：To evaluate the reason and prevention of bile duct injury under the laparoscopic cholecystectomy （LC）.Methods： Retrospective study was performed through 1260 cases of LC in our hospital.The clinical data and pervious literature were included.Results： Six cases with bile duct injury were occurred in 1 260 cases of LC（0.48%）.The six cases were composed of two cases with bile duct cord injury, one ease with common bile duct injury,one case with hepatic duct injury, one case with hepatic duct laceration,and one case with late onset hepatic duct perforation by electrical burns.Conclusion：Careful dissection,identify key anatomic landmarks,clear presentation in all Calot triangle tube to prevent blind coagulation,and resolute laparotomy should be the effective measures in LC to prevent bile duct injury.
出处
《中国医药导刊》
2010年第7期1161-1162,共2页
Chinese Journal of Medicinal Guide
