腹腔镜术中应用壶腹钟表定位法和胆囊废弃术新理念妥善处理胆囊管  

Proper management of the cystic duct guided by clock positioning for ampulla of gallbladder and laparoscopic gallbladder disabled technique

作　　者：尚培中[1] 柳勇[1] 苗建军[1] 李晓武[1] 刘冰 张洁 Shang Peizhong;Liu Yong;Miao Jianjun;Li Xiaowu;Liu bing;Zhang Jie(Department of General Surgery, the 251st Hospital of PLA, Hebei 075000, China)

机构地区：[1]解放军第251医院普通外科

出　　处：《中华普外科手术学杂志（电子版）》2019年第3期235-238,共4页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

基　　金：河北省科技支撑计划项目(11276103D-21)~~

摘　　要：腹腔镜胆囊切除术中发生医源性胆管损伤最常见的原因就是错误地把胆总管当作胆囊管施夹离断。为了增强术者对胆囊管各种形态的辨识能力,从不同角度将胆囊管分为11类33型,应用胆囊壶腹钟表定位法和胆囊废弃术新理念为指导,把妥善处理胆囊管作为手术的首要目标和核心技术加以高度重视,从而建立了有效避免胆管损伤的手术安全策略。Iatrogenic bile duct injury in laparoscopic cholecystectomy could happen when common bile duct was mistakenly cut off as the cystic duct. In order to enhance the ability of the surgeon to recognize various forms of the cystic duct, the cystic duct is divided into 11 categories and 33 types from different perspectives . Guided by clock positioning method for ampulla of gallbladder and the new concept of gallbladder disabled technique, the primary objective and core technique of proper management of the cystic duct are highlighted, so as to establish an effective surgical safety strategy to avoid bile duct injury.

关 键 词：胆囊炎 胆囊管 胆囊切除术 腹腔镜 胆囊壶腹钟表定位法 胆囊废弃术 

分 类 号：R657.4[医药卫生—外科学]