| 腹腔镜胆囊切除术致胆管损伤的诊治体会(附22例报告) |
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| 引用本文： | 崔忠,张利辉,王振全,赵清涛,孙建斌,魏强,王文耀,张永杰. 腹腔镜胆囊切除术致胆管损伤的诊治体会(附22例报告)[J]. 中国微创外科杂志, 2003, 3(1): 69-70 |
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| 作者姓名： | 崔忠 张利辉 王振全 赵清涛 孙建斌 魏强 王文耀 张永杰 |
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| 作者单位： | 1. 白求恩国际和平医院肝胆外科,石家庄,050082
2. 上海第二军医大学东方肝胆外科医院,上海,200433 |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术(LC)中胆管损伤的预防和处理。方法 回顾性分析LC胆管损伤22例的特点、诊断、治疗及效果。结果 本组22例均行胆管空肠Roux—en—Y吻合，其中8例行肝门部胆管成形术，3例行中肝叶切除。22例于术后1年、3年随访未出现胆管狭窄、黄疽复发及胆管炎症状。结论 预防胆管损伤是关键，其处理应根据发现时间、部位、类型等选择不同的方法。
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| 关 键 词： | 腹腔镜胆囊切除术 并发症 胆管损伤 胆管空肠吻合术 预防 |
| 文章编号： | 1009-6604(2003)01-0069-02 |
| 修稿时间： | 2001-09-25 |
The diagnosis and treatment of bile duct injury during laparoscopic cholecystectomy (A report of 22 cases) |
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| Cui Zhong,Zhang Lihui,Zhao Qingtao,et al.. The diagnosis and treatment of bile duct injury during laparoscopic cholecystectomy (A report of 22 cases)[J]. Chinese Journal of Minimally Invasive Surgery, 2003, 3(1): 69-70 |
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| Authors: | Cui Zhong Zhang Lihui Zhao Qingtao et al. |
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| Affiliation: | Cui Zhong,Zhang Lihui,Zhao Qingtao,et al. Department of Hepatobiliary Surgery,Bethune International Peace Hospital of PLA,Shijiazhuang 050082,China |
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| Abstract: | Objective To study the prevention and treatment of bile duct injury during laparoscopic cholecystectomy(LC). Methods 22 cases of bile duct injury during LC were reviewed retrospectively. The features, diagnosis, treatment and efficacy of injury were summarized. Results All patients were successfully treated by Roux-en-Y cholangio-jejunostomy. Besides, 8 patients underwent plastic operation of bile duct of hepatic portal and 3 patients middle lobectomy of liver. 22 cases were followed up at the 1st and 3rd year after surgery, and no bile duct stricture, recurrence of jaundice and cholangitis occurred. Conclusions It's a key to prevent bile duct injury during LC. The management of bile duct injury should be chosen according to injured time, sites and types. |
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| Keywords: | Laparoscopic cholecystectomy(LC) Bile duct injury Cholangio-jejunostomy |
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