腹腔镜胆囊切除术肝外胆道少见变异的处理  

The treatment of the rare variation of extrahepatic bile duct with Laparoscopic cholecystectomy

作　　者：胡超华[1] 沈雄山[1] 罗灿[1] 李卫民[1] 樊立[1] 

机构地区：[1]湖北省孝感市中心医院肝胆外科,432100

出　　处：《临床外科杂志》2009年第1期26-27,共2页Journal of Clinical Surgery

摘　　要：目的研究腹腔镜胆囊切除术中肝外胆道少见变异损伤的防治。方法回顾性分析1996年至2006年我院5231例腹腔镜胆囊切除术中发现17例肝外胆道少见变异进行解剖及处理的临床资料。结果副肝管3例，迷走胆管1例，肝外型右肝管5例，胆囊管变异8例。术中胆道损伤3例，术后胆漏3例，无患者死亡。结论肝外胆道变异是腹腔镜胆囊切除术肝外胆道损伤的主要原因之一。腹腔镜胆囊切除术时，精细地解剖胆囊三角，加强对肝外胆道变异的认识和处理，对减少腹腔镜胆囊切除术的并发症具有重要意义。Objective To explore the prevention and treatment of injury with the rare variation. Methods We retrospectively analyzed the clinical data of dissection and treatment of 17 cases of rare variation in performing 5231 cases of Laparoscopic cholecystectomy from 1996 to 2006. Results Three of which are variant of the accessory hepatic duct, one is variant of Luschka duct, Five of which are variant of right hepatic duct and eight cases variant of ductus cysticus. Three injuries of biliary tracts take place in operation and three leakage were found after operation. No death occur. Conclusion one of the main reasons of the bile ducts injury is the rare variation of extrahepatic bile duct. The level of understanding and dealing the abnormal variation of biliary tracts in Laparoscopic cholecystectomy is very important for improving the surgery quality and reducing illness complications.

关 键 词：腹腔镜胆囊切除术 胆道解剖变异 胆道损伤 

分 类 号：R657.4[医药卫生—外科学]