腹腔镜胆囊切除术胆道损伤的预防  

The prevention of bile duct injury secondery to laparoscopic cholecystectomy

作　　者：董志江[1] 

机构地区：[1]天津市咸水沽医院外科,天津00350

出　　处：《青岛医药卫生》2015年第4期249-251,共3页Qingdao Medical Journal

摘　　要：目的探讨有效预防腹腔镜胆囊切除术胆道损伤的手段。方法选择2009年6月至2014年1月天津市咸水沽医院腹腔镜胆囊切除术394例患者,对其临床资料进行总结分析。结果 394例中389例成功行LC(98.7%),5例中转开腹(1.3%),1例发生迟发性胆瘘,1例发生右肝管横断伤,无死亡病例。结论规范腹腔镜下胆囊切除术的手术操作,术中结合多种方法反复检查、明确胆囊三角区立体解剖关系,是预防其并发症的关键。Objective To discuss the effective methods to prevent the bile duct laparoscopic cholecystectomy. Methods 394 patients received laparoscopic Tianjin Xianshuigu Hospital from June 2009 to January 2014 were analyzed r suits In 394 patients, 389 patients underwent laparoscopic cholecyste injury seeondery to eholecystectomy in etrospectively. Re- ctomy successfully （98.7%）, 5 patients were transferred to open surgery during the operation（1.3%）, 1 patient occurred delayed bile leakage, 1 patient occurred the right hepatic duct transection injury（O. 5%）, no death case. Conclusion Standardized operating procedures of laparoscopic cholecystectomy and the clear show of the spatial relationship of calot using every method are keys to prevent the complications.

关 键 词：腹腔镜 胆囊切除术 胆道损伤 

分 类 号：R657.4[医药卫生—外科学]