胆囊切除术致胆管损伤29例分析

目的 探讨胆囊切除术致胆管损伤的原因、诊断方法及处理原则。方法 回顾性分析29例胆囊切除术致胆管损伤的临床资料。结果 29例行胆管修补术或胆管空肠Roux—en—Y吻合术，3例术后再次出现胆管狭窄，经再次手术后痊愈。结论 预防损伤是关键。胆管损伤的及时发现，及时处理是治疗成功的关键。应根据损伤的情况和术后发现的时间选择不同的处理方法。

Bile duct injury during open cholecystectomy; an analysis of 29 cases

ObjectiveTo find the cause of bile duct injury during open cholecystectomy and evaluate its management. MethodsClinical materials of 29 cases suffering from bile duct injury during conventional cholecystectomy were retrospectively analyzed. Results All patients underwent choledochocholedochostomy or Roux en Y operation. The result was satisfactory in 26 patients, recurrent bile duct stricture developed in 3 patients necessitating a further operation.ConclusionA better expertise is mandatory in the prevention of bile duct injury. The injury should be suspected and identified timely. Different surgical procedures may be suitable in individual patients according to the degree and the site of injury.