胆囊切除术后再手术原因分析  

Analtysis of reoperative cause after cholecystectomy

作　　者：刘展东 陈亚进[2] 徐国权[2] 

机构地区：[1]广东省佛山市顺德区龙江医院普外科,528318 [2]中山大学附属第二医院肝胆外科,广州510120

出　　处：《岭南现代临床外科》2007年第4期257-258,共2页Lingnan Modern Clinics in Surgery

摘　　要：目的探讨胆囊切除术后再手术的原因,以减少再手术。方法对1996年6月至2006年6月胆囊切除术后再手术128例作回顾性研究。结果再次手术的原因为合并肝外胆管结石41例,肝内胆管结石20例,胆管损伤38例,十二指肠乳突旁憩室9例,胆囊癌8例,先天性胆总管囊肿12例。结论胆囊切除术后再手术有疾病本身的特点,也有医源性的原因;如能做好正确的术前诊断和术中细致手术操作部分胆囊切除术后再手术的发生是可避免的。Objective To investigate the reoperative cause after cholecystectomy and how to reduce reoperation. Methods From June 1996 to June 2006, 128 cases received reoperation after cholecystectomy were studied retrospectively. Results Causes of reoperation were associated with culous of extrahepatic duct in 41 cases, caleulous of intrahepatic duct 20 cases, in Jury of bile duct 38 cases, diverticulun of para-duodenal papilla 9 cases, carcinoma of gall bladder 8 cases and congenital cyst of common bile duct 12 cases. ,Conclusion Cause of reoperation has an original feature of disease afet cholecystectomy and it also has iatrogenic cause. If a correct preoperative diagnosis and meticulous operative manipulation can be done, the partial reoperation may be avoided.

关 键 词：胆囊切除术后 再手术 回顾性研究 

分 类 号：R657.4[医药卫生—外科学]