腹腔镜胆囊切除胆道损伤的原因及预防  

Cause and prevention of biliary duct injury in laparoscopic cholecystectomy

作　　者：牛江平[1] 吕宇[1] 宋媛媛[1] 

机构地区：[1]陕西汉中市人民医院,陕西汉中723000

出　　处：《腹腔镜外科杂志》2006年第3期238-239,共2页Journal of Laparoscopic Surgery

摘　　要：目的:探讨腹腔镜胆囊切除术(LC)胆道损伤的发生原因,预防措施。方法:回顾我院11年来开展LC 7 210例的临床资料,分析其损伤发生的原因、部位。结果:胆道损伤18例,胆道损伤发生率0.25%。结论:规范腔镜医师培训,提高腔镜操作技术,严把手术质量关,避免自信盲目,重视解剖变异、病理性异常的术式选择,中转手术是预防胆道损伤的关键。Objective：To investigate the cause and prevention of biliary duct injury in laparoscopic cholecystectomy （LC）. Methods：Mter revewing the clinical data of 7 210 LC cases in the last 11 years, the cause and sites of injury were analyzed. Results： In all cases 18 had biliary injuries （0.25%, 18/7 210）. Concluslons：The linchpin for preventing biliary ducts injury is to standard the training of laparoscopic doctors, to improve the laparoscopic operation technique, to avoid over slef-confidence, to pay more attention to the anatomic variation and to transfer to open operation if necessary.

关 键 词：腹腔镜 胆道损伤 原因 预防 

分 类 号：R657.4[医药卫生—外科学]