| 腹腔镜胆囊切除术中胆管损伤的预防 |
| |
| 引用本文： | 姚英民,王小娟,耿智敏,刘青光. 腹腔镜胆囊切除术中胆管损伤的预防[J]. 中国微创外科杂志, 2004, 4(6): 462-463 |
| |
| 作者姓名： | 姚英民 王小娟 耿智敏 刘青光 |
| |
| 作者单位： | 西安交通大学第一医院肝胆外科,西安,710061 |
| |
| 摘 要： | 目的总结腹腔镜胆囊切除术中胆管损伤的原因及其防治方法. 方法回顾分析1 000例腹腔镜胆囊切除术临床资料. 结果中转开腹手术15例(1.5%);并发症6例(0.6%),其中胆总管损伤3例,胃穿刺损伤1例,腹壁刺口出血1例,胆漏1例.无远期并发症. 结论胆道牵拉成角是胆管损伤最常见原因.
|
| 关 键 词： | 腹腔镜 胆囊切除术 胆管损伤 预防 |
| 文章编号： | 1009-6604(2004)06-0462-02 |
| 修稿时间： | 2003-12-15 |
Prevention of bile duct injuries during laparoscopic cholecystectomy |
| |
| Abstract: | Objective To summarize the causes and the prevention of bile duct injuries during laparoscopic cholecystectomy (LC). Methods Clinical records of 1 000 cases of LC were analyzed retrospectively. Results Conversions to open cholecystectomy were required in 15 cases(1.5%). Complications took place in 6 cases(0.6%), involving 3 cases of common bile duct injury, 1 case of stomach puncture, 1 case of port hemorrhage, and 1 case of bile leakage. No long-term complications were seen. Conclusions The most frequent cause leading to bile duct injuries is pulling the bile duct to be angulated. |
| |
| Keywords: | Laparoscope Cholecystectomy Bile duct injury Prevention |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
