腹腔镜胆囊切除术致高位胆管损伤的早期诊断及处理  

Early diagnosis and treatment of high bile duct damage caused by laparoscopic gallbladder excision

作　　者：蔡治方[1] 黄红兰[1] 兑丹华[1] 彭慈军[1] 赵礼金[1] 

机构地区：[1]遵义医学院附属医院肝胆外科,贵州省遵义市563003

出　　处：《世界华人消化杂志》2014年第22期3316-3319,共4页World Chinese Journal of Digestology

摘　　要：目的:研究腹腔镜胆囊切除术致高位胆管损伤的原因、早期诊断以及处理方法.方法:将本院2008-01/2013-05收治的18例腹腔镜胆囊切除术致高位胆管损伤的临床资料进行回顾性分析.结果:手术无死亡,这18例胆囊切除后致高位胆管损伤的病例发生在肝总管及其以上部位,在经过1次及1次以上的手术治疗后患者痊愈,随访6 mo-6年,无黄疸和胆道感染等并发症.结论:预防高位胆管损伤是腹腔镜胆囊切除术的关键,而高位胆管损伤发生后要正确及时的处理,并根据损伤发生的时间、类型选择不同的处理方式.AIM： To assess the early diagnosis and treatment of high bile duct injury caused by laparoscopic operation. METHODS： We performed a retrospective analysis of clinical data for 18 patients treated for high bile duct injury caused by laparoscopic cholecystectomy at our hospital from January 2008 to May 2013. RESULTS： No operation-related death occurred. All the 18 cases of high bile duct injury caused by cholecystectomy occurred in the common hepatic duct and the above parts. After one or more operations, all the patients recovered. Dur- ing the follow-up period from six months to six years, no jaundice or biliary complications such as infection occurred.CONCLUSION： Prevention and early diagnosis are the key to the treatment of high bile duct in- jury, while processing after high bile duct injury should be timely and correct, and an appropri- ate approach should be selected according to the injury time.

关 键 词：腹腔镜 胆囊切除术 胆管损伤 

分 类 号：R657.4[医药卫生—外科学]