一例LC术中误切副肝管引发医疗纠纷的原因分析  

Cause Analysis on a Medical Dispute Caused by Missection of the Accessory Hepatic Duct during LC Operation

作　　者：余旭升 何月 Yu Xuesheng;He Yue

机构地区：[1]四川旭日司法鉴定中心

出　　处：《医学与法学》2019年第2期76-78,共3页Medicine and Jurisprudence

摘　　要：LC术要求医方应充分作磁共振胰胆管造影(MRCP)等特异性高的客观检查,了解是否存在解剖变异等情况,以作好术前充分准备;术中应仔细观察手术进展情况,防止误切发生;术后亦应重视病情进展,巩固病情康复。这些均须高度注意的义务医方若未履行而导致严重后果发生的,两者之间便存在直接因果关系。When LC is performed by doctors, objective examinations with high specificity such as magnetic resonance cholangiopancreatography (MRCP) should be fully performed to understand the presence of anatomic variations and other conditions, so as to make full preparations before surgery;during the operation, its progress should be carefully observed to prevent missection;after the surgery, postoperative disease progress should be paid attention to consolidate the rehabilitation. And There is a direct causality between the medical behaviors and the serious consequences caused by the non-performance of the above-mentioned obligations that medical party must pay high attention to.

关 键 词：腹腔镜胆囊切除术 解剖变异 副肝管 胆漏 因果关系 

分 类 号：D923[政治法律—民商法学] R197.323[政治法律—法学]