腹腔镜胆囊切除术80例胆囊管变异的临床总结  

To summarize the clinical variation of cystic duct in 80 cases of laparoscopic cholecystectomy

作　　者：曾鹏[1] 

机构地区：[1]彭州市人民医院普外科,四川成都611930

出　　处：《中国科技期刊数据库 医药》2015年第5期78-79,共2页

摘　　要：探讨腹腔镜胆囊切除术80例胆囊管变异的临床总结。方法:回顾分析2010年5月至2013年5月腹腔镜胆囊切除术中发现的80例胆囊管变异患者的临床资料。结果:该组80例患者均顺利完成手术,无一例外发生胆管损伤的情况。术后发生并发症5例,其中因胆囊囊性扩张使钛夹夹闭不全导致发生胆漏现象3例,均采用引流1周痊愈;术中转开腹止血2例,采用腹腔镜缝针止血和钳夹止血均成功。剩余患者进行术后随访均无其他并发症发生。结论:作为医者,在手术的过程中需要牢记术后胆囊管变异的可能性,将胆囊管作为进入胆囊的唯一管道,有利于避免造成胆管的损伤。Objective: To summarize the clinical variation of cystic duct in 80 cases oflaparoscopic cholecystectomy. Methods: Analyzed 80 cases of clinical variation of cystic duct in laparoscopic cholecystectomy retrospectively. Results: 80 patients were successfully completed the operationwithoutoccurrence of bile duct injury. Postoperative complications occurred in5 cases, 3 cases for bile leakage caused by gallbladder cystic dilatation and healed after one week of drainage. Laparotomy was performed in 2 cases, and they were successful ofhemostasis with laparoscopic suture and clamping. The remaining patients had no other complications occurred. Conclusion:We should consider the possibility of variation of cystic duct after operation as a doctor, putting the cystic duct as the only pipeline into the gallbladder to avoid bile duct injury.

关 键 词：胆囊管变异 

分 类 号：R749.05[医药卫生—神经病学与精神病学]