腹腔镜胆囊切除术胆道损伤的防治分析

摘要

Objective To Summarize the cause of bile duct injury resulting from laparoscopic cholecystectomy, and to ifnd out the ways to treat and prevent it. Methods The clinical data of 14 patients with bile duct injury resulting from laparoscopic cholecystectomy, who were treated in our hospital in recent sixteen years, studied retrospectively. Results Out of the fourteen patients, twelve were completely cured by bile duct wall repair, bile duct anastomosis, or choledochojejunostomy. One suffered from anastomotic leakage,and one patients died. Conclusion Effective measures to fully be prepared before surgery and the careful operating during the operation could prevent the bile duct injury, in which early detection and correct treatment of bile duct injury play important roles in prognosis.%目的：探讨腹腔镜胆囊切除术胆道损伤发生的原因、处理方法及预防措施。方法总结14例腹腔镜胆道损伤病人的临床资料，进行回顾性分析。结果14例患者中经胆管壁修补、胆管端端吻合或胆肠吻合术后治愈12例，1例出现吻合口漏，1例患者死亡。结论腹腔镜胆囊切除术术前充分准备，术中仔细操作，是防止胆道损伤的有效措施。胆道损伤的早期发现和正确处理对预后极其重要。