| 腹腔镜胆囊切除术致胆管损伤的防治(附12例报告) |
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| 引用本文： | 许向东,王飞轮,汪日进,李平.腹腔镜胆囊切除术致胆管损伤的防治(附12例报告)[J].淮海医药,2007,25(6):493-494. |
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| 作者姓名： | 许向东 王飞轮 汪日进 李平 |
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| 作者单位： | 安徽省祁门县人民医院,外科,245600 |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术致胆管损伤的原因、预防和处理原则.方法 回顾分析12例腹腔镜胆囊切除术致胆管损伤的临床资料.结果 10例行Roux-en-Y胆肠内引流术愈合,2例行Roux-en-Y胆肠内引流术后发现胆总管横断,改行胆总管空肠Roux-en-Y吻合术.但未放置胆肠支撑管,又发现吻合口狭窄,再次行胆肠吻舍并放置胆肠支撑管,全部愈合.结论 预防损伤十分重要,胆管损伤的及时发现和正确处理是治疗成功的关键.
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| 关 键 词： | 胆囊切除术 腹腔镜 胆管损伤 治疗结果 腹腔镜 胆囊切除术 胆管损伤 防治 laparoscopic cholecystectomy injuries attached 治疗 处理原则 预防损伤 胆肠吻 吻合口狭窄 支撑管 吻合术 胆总管空肠 横断 发现 术后 胆肠内引流术 愈合 |
| 文章编号： | 1008-7044（2007）06-0493-02 |
| 修稿时间： | 2007-02-10 |
Cholangio injuries in laparoscopic cholecystectomy(12 cases attached) |
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| XU Xiang-dong ,WANG Fei-lun ,WANG Ri-jin,et al..Cholangio injuries in laparoscopic cholecystectomy(12 cases attached)[J].Journal of Huaihai Medicine,2007,25(6):493-494. |
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| Authors: | XU Xiang-dong WANG Fei-lun WANG Ri-jin |
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| Institution: | Qimen Hospital ,Anhui 245600,China |
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| Abstract: | Objective To discuss laparoscopic cholecystectomy as a cause of cholangio injuries as well as its prevention and treatment.Methods Retrospective analysis 12 cases of cholangio injures' clinical data.Results The 12 cases all received the Roux-en-Y internal drainage.2 cases became stoma narrow after performing Roux-en-Y anastomosis without"T" tube drain in patients.After cholangio-jejunum Roux-en-Y anastomosis with "T" tube was performed again,the entire 12 cases were cured.Conclusion Prevention of cholangio impairment is very important.If any,rapid treatment is the key to success. |
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| Keywords: | Cholecystectomy laparoscopic Bile duct injury Treatment outcome |
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