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基层医院腹腔镜胆囊切除术防治胆管损伤的体会
引用本文:任峰,缪建东,钱正东,钱拯平. 基层医院腹腔镜胆囊切除术防治胆管损伤的体会[J]. 腹腔镜外科杂志, 2010, 15(9): 697-698. DOI: 10.3969/j.issn.1009-6612.2010.09.026
作者姓名:任峰  缪建东  钱正东  钱拯平
作者单位:张家港市胆石病治疗中心,江苏,张家港,215616
摘    要:目的:总结基层医院腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)预防和治疗胆管损伤的体会。方法:回顾分析1994年10月至2008年12月为12 759例患者行LC的临床资料。结果:胆道损伤16例,胆道损伤率0.13%。结论:熟练的操作技巧可减少或避免胆管损伤的发生,早期诊断和及时处理胆管损伤是重要举措。

关 键 词:胆囊切除术,腹腔镜  胆管损伤  基层医院

Prevention and treatment of bile duct injury during laparoscopic cholecystectomy in primary hospital
Affiliation:REN Feng,MIAO Jian-dong,QIAN Zheng-dong,et al.The Therapy Centre of Cholelithiasis of Zhangjiagang City,Zhangjiagang 215616,China
Abstract:Objective:To summarize how to prevent and treat bile duct injury during laparoscopic cholecystectomy(LC) in primary hospital.Methods:The clinical data of 12 759 patients treated by LC between Oct.1994 to Dec.2008 were analyzed retrospectively.Results:Bile duct injury occurred in 16 patients(0.13%).Conclusions:Skilled surgical performance can avoid or minimize the incidence of bile duct injury.Early detection and active repair of the bile duct injury is the most important measure.
Keywords:Cholecystectomy,laparoscopic  Bile duct injury  Primary hospital
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