摘要
目的 探讨腹腔镜胆囊切除术 (LC)中胆管损伤的预防和处理。 方法 回顾性分析LC胆管损伤 2 2例的特点、诊断、治疗及效果。 结果 本组 2 2例均行胆管空肠Roux -en -Y吻合 ,其中 8例行肝门部胆管成形术 ,3例行中肝叶切除。 2 2例于术后 1年、3年随访未出现胆管狭窄、黄疸复发及胆管炎症状。 结论 预防胆管损伤是关键 ,其处理应根据发现时间、部位、类型等选择不同的方法。
Objective To study the prevention and treatment of bile duct injury during laparoscopic cholecystectomy(LC). Methods 22 cases of bile duct injury during LC were reviewed retrospectively. The features, diagnosis, treatment and efficacy of injury were summarized. Results All patients were successfully treated by Roux-en-Y cholangio-jejunostomy. Besides, 8 patients underwent plastic operation of bile duct of hepatic portal and 3 patients middle lobectomy of liver. 22 cases were followed up at the 1st and 3rd year after surgery, and no bile duct stricture, recurrence of jaundice and cholangitis occurred. Conclusions It's a key to prevent bile duct injury during LC. The management of bile duct injury should be chosen according to injured time, sites and types.
出处
《中国微创外科杂志》
CSCD
2003年第1期69-70,共2页
Chinese Journal of Minimally Invasive Surgery
