腹腔镜胆囊切除术中14例副肝管损伤的处理探讨  

Learn from management experience of accessory hepatic duct injuries during laparoscopic cholecystectomy

作　　者：陈修煌[1] 高家宝[1] 熊乐平[1] 

机构地区：[1]江西省人民医院普外一科,南昌330006

出　　处：《江西医药》2012年第3期191-193,共3页Jiangxi Medical Journal

摘　　要：目的探讨腹腔镜胆囊切除术(LC)中副肝管损伤的临床意义。方法回顾性分析行LC的14例副肝管损伤的临床资料。结果 14例副肝管损伤中,9例术中及时发现并夹闭副肝管断端,术后放置腹腔引流管,其中6例术后5d引流管内无胆汁引出拔管,2例1周后拔管,1例经引流3个月后无胆汁引出而拔管治愈;2例术后出现腹痛腹胀而行剖腹探查发现副肝管损伤,经结扎副肝管断端后治愈;3例因术中出血较多而放置腹腔引流管发现胆汁引出,经引流治愈。结论术中注意操作方法,副肝管的损伤可以及时发现或可避免,对副肝管损伤直接夹闭并置引流管引流是安全有效的处理方法。Objective To investigate clinical significance of accessory hepatic duct injuries during laparoscopic cholecystectomy（LC）.Methods The clinical data of 14 cases of accessory hepatic duct injuries during LC were retrospectively analized.Results In the 14 cases,9 accessory hepatic duct injuries were found immediately and tied,then put a abdominal drainage.In these cases 6 patients were cured in 5 days after operation,2 cases were cured in 2 weeks,1 patient was cured in 3 months;2 cases were observed accessory hepatic duct injuries in the second operation because the patients got belly pains after operation;3 patients were found biliary leakage from the after operation,and through the abdominal drainage these patients were cured.Conclusion accessory hepatic duct injuries can be found immediately and be tied during LC.It is safe and effective.

关 键 词：腹腔镜胆囊切除术 副肝管 

分 类 号：R657.4[医药卫生—外科学]