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腹腔镜胆囊切除术后胆漏7例分析
引用本文:黄鑫,洪建文,许国平,林健群. 腹腔镜胆囊切除术后胆漏7例分析[J]. 腹腔镜外科杂志, 2006, 11(4): 340-341
作者姓名:黄鑫  洪建文  许国平  林健群
作者单位:广东省潮州市中心医院,广东,潮州,521000;广东省潮州市中心医院,广东,潮州,521000;广东省潮州市中心医院,广东,潮州,521000;广东省潮州市中心医院,广东,潮州,521000
摘    要:目的:探讨腹腔镜胆囊切除术(LC)胆漏的原因及预防措施。方法:回顾分析我院700余例LC并发胆漏7例的临床资料。结果:手术适应证放宽、胆囊管处理不当及对毛细胆管或迷走胆管的存在认识不足是胆漏的重要因素。结论:严格控制手术适应证,充分暴露,规范化处理Calot三角、胆囊管和胆囊床,掌握腔内打结技术是预防胆漏的关键。

关 键 词:胆囊切除术  腹腔镜  胆漏  并发症
文章编号:1009-6612(2006)04-0340-02
收稿时间:2006-03-21
修稿时间:2006-03-21

Analysis of 7 cases bile leakage after laparoscopic cholecystectomy
HUANG Xin, HONG Jian-wen, XU Guo-ping. Analysis of 7 cases bile leakage after laparoscopic cholecystectomy[J]. Journal of Laparoscopic Surgery, 2006, 11(4): 340-341
Authors:HUANG Xin   HONG Jian-wen   XU Guo-ping
Abstract:Objective:To discuss the causes and preventing measures of bile leakage after laparoscopic cholecystectomy(LC).Methods:Retrospectively analyze the clinical data of 7 bile leakage cases among over 700 LC cases.Results:Broadening the surgery indication,improper handling of the cystic duct and neglect of the leakage of mini-bile-ducts are the several major factors leading to bile leakage.Conclusions:The key preventing measures includes strictly controlling of the surgery indication,standard handling of the Calot's triangle,cystic duct and cystic bed,and mastering the tie skills in the cavity.
Keywords:Cholecystectomy  laparoscopic  Bile leakage  Complication
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