胆囊切除术中胆管损伤的原因分析及预防

胆囊切除在普外科中是常见手术，但由于各种原因导致胆管损伤的约占胆囊切除术的0．27％—0．81％。损伤原因多见于胆囊三角的广泛粘连，术者对胆囊三角的解剖关系不清，麻醉效果差等。为了有效地降低胆管损伤，必须要认真掌握胆囊切除术的适应症和急性胆囊炎的手术时机，术前熟悉肝外胆管的解剖关系，了解常见的变异，术中要仔细操作，避免在麻醉不满意的条件下进行手术。

THE CAUSE ANALYTICAL AND PROPHYLAXIS OF COMMON BILE DUCT INJURY IN CHOL ECYSTECTOMY

Cholecystectomy is usual operation in general surgery. Because of various reasons common bile duct injury were about 0.27 % -0. 81% in cholecystectomy. The most common reasons or injury were discovered extensive adhesion variation of Calot's triangle, operator excessive sure, seek after speed of anatomic reference isn't clear to calot's triangle,surgical anesthetic is too bad. For effective diminish common bile injury,we must be appreciate carefully indication of chole-cystectomy and operation chance of acute cholecystitis. In cholecystectomy,it is necessary that technical carefully and un-derstand anatomic reference of extrahepatic at preoperative. We must be understand common variation, operation should be avoided only if it can be accomplished satisfactory anesthtic.