腹腔镜胆囊切除致胆道损伤的治疗研究  

Study of Treatment of Bile Duct Injury due to Laparoscopic Cholecystectomy

作　　者：崔宏[1] 李永研[1] 王福春[1] 

机构地区：[1]中国人民解放军第153中心医院普外科,郑州市450042

出　　处：《医药论坛杂志》2003年第15期16-17,共2页Journal of Medical Forum

摘　　要：目的　总结腹腔镜胆囊切除致胆道损伤的治疗经验。 方法　 对 1992年 12月～ 2 0 0 2年 12月30例患者进行回顾分析。 结果　所有患者最终均需手术治疗。手术方式根据损伤部位、类型、损伤后发现的时间决定。随访率 (2 8/30 )为 93.33%,随访时间 1～ 10年。优良率达 86 .6 7%。 结论　作者认为术中发现即行对端吻合或修复 +T管引流 ,术后数天发现或多次重建失败者 ,最宜行规范的胆肠吻合术 ,疗效满意。Objective To summarize the expierence and lesson drawn from bile duct injury (BDI) due to laparoscopic cholecyslectomy (LC).Methods 30 patients with BDI due to LC were studied retrospectively from December 1992 to December 2002.Results All patients were treated ultimately by operation.The method of treatment was according to the type, position of injury and the time after injury.28/30(93.33%)patients were followed up from one to ten years.86.67% treatment was satisfactory.Conclusion To manage patient immediately by end-to-end anastomosis of the bile duct or repaire with T tube drainage is reliable.For patient whose treatment is delayed for several days or reconstruction surgery is failed,the hepaticojejunostomy is an effcient method.

关 键 词：腹腔镜 胆囊切除 胆道损伤 治疗 手术损伤 

分 类 号：R657.4[医药卫生—外科学]