腹腔镜胆囊切除术胆道损伤的常见原因及预防措施  

The common reasons and preventive measures of the biliary duct damages in laparoscopic cholecystectomy (LC)

作　　者：孟立俊 孟涛 周理好[3] 

机构地区：[1]六安市立医院普外科,安徽237000 [2]安徽医科大学,临床医学本硕2009级合肥230032 [3]六安市第二人民医院普外科,安徽237000

出　　处：《安徽卫生职业技术学院学报》2013年第2期17-18,20,共3页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨腹腔镜胆囊切除术中胆道损伤的常见原因及预防措施。方法:回顾性分析12例腹腔镜胆囊切除术中胆道损伤患者的临床资料。结果:胆道损伤多为结构不清、解剖变异、术中盲目止血、手术风险评估不足所致。结论:及早发现并及时正确处理胆道损伤,对患者术后早日顺利康复起到决定性作用。Objective： To explore the common reasons and preventive measures of the biliary duct damages in the laparoscopic cholecystectomy （LC）. Methods： Retrospective analysis of 12 cases of the clinical materials of the biliary duct damages in the laparoscopic cholecystectomy （LC）.Results： Most of the biliary duct damages are due to the unclear structure, dissection variation, blind hematischesis during surgery and insufficient assessment of the risk in the surgery. Conclusion： Early detection and prompt intervention of the biliary duct damages plays an important and decisive role in the patient＇s early and smooth recovery from the surgery.

关 键 词：腹腔镜胆囊切除术 胆道损伤 预防措施 

分 类 号：R657.4[医药卫生—外科学]