腹腔镜胆囊切除术副肝管损伤的预防及处理(附8例报告)  

Preventing and management of accessory hepatic duct injury during laparoscopic cholecystectomy: with a report of 8 cases

作　　者：万宇飞[1] 廖传文[1] 胡淑琴[1] 熊乐平[1] 

机构地区：[1]江西省人民医院,江西南昌330006

出　　处：《腹腔镜外科杂志》2004年第4期226-227,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨预防腹腔镜胆囊切除术副肝管损伤及手术中处理的方法。方法:回顾总结腹腔镜胆囊切除术中8例副肝管损伤的临床资料。结果:损伤的副肝管均修补成功,术中确定的副肝管均予保留。结论:术中仔细解剖,尽量避免损伤不明的管状结构,对胆囊三角解剖不清者,中转开腹是减少肝外胆管损伤的必要措施。Objective:To explore the ways of preventing and dealing with accessory hepatic duct injury during la-paroscopic cholecystectomy. Methods: The clinical data of 8 cases of accessory hepatic duct injury during laparoscopic cholecystectomy were retrospectively analzed. Results: The accessory hepatic duct was successfully repaired and was retained in opreation.Conclusions:It is necessary to anatomize carefully and avoid impairing undefined cannular structure during operation. Sometimes, open cholecystectomy is necessary to decrease hepatic duct injury especially when calot triangle is unclear.

关 键 词：胆囊切除术 腹腔镜 副肝管损伤 病例报告 

分 类 号：R657.4[医药卫生—外科学]