| 医源性肝外胆管损伤的处理 |
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| 引用本文： | 石景森,杨毅军,王林,焦兴元,卢云,赵风林,何平. 医源性肝外胆管损伤的处理[J]. 中国普通外科杂志, 2000, 9(3): 249-251 |
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| 作者姓名： | 石景森 杨毅军 王林 焦兴元 卢云 赵风林 何平 |
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| 作者单位： | 1. 西安医科大学第一附属医院,肝胆外科研究室,陕西,西安,710061
2. 青岛医学院附属医院,普外科,山东,青岛,266003 |
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| 摘 要： | 目的 总结医源性胆管损伤的处理经验。方法 对５４例肝外胆管损伤处理进行回顾性分析。结果 ５４例中６例为腹腔镜胆囊切除术损伤，４８例为开腹胆囊切除术损伤。术中及时发现１８例（３３．３％）。术后２４ｈ后发现２４例（４４．４％），手术１个月以后发现１２例（２２．３％）。５４例经道次处理后２３例（４２．６％）治愈，２８例（５１．９％）经过２次以上胆管手术，死亡３例（５．６％）。结论 正确掌握胆管损伤的处理
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| 关 键 词： | 肝外胆管 损伤 医源性疾病 胆囊切除术 腹腔镜 |
| 修稿时间： | 1999-07-21 |
Treatment of iatrogenic extrahepatic bile duct injuries |
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| SHI Jing-sen,YANG Yi-jun,WANG Lin,JIAO Xing-yuan,LU Yun,ZHAO Feng-lin,HE Ping. Treatment of iatrogenic extrahepatic bile duct injuries[J]. Chinese Journal of General Surgery, 2000, 9(3): 249-251 |
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| Authors: | SHI Jing-sen YANG Yi-jun WANG Lin JIAO Xing-yuan LU Yun ZHAO Feng-lin HE Ping |
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| Abstract: | Objective To summarize the experience in therapy of iatrogenic bile duct injuries(IBDI). Methods A retrospective study was made on the treatment of 54 patients with IBDI. Results Six cases of them were damaged by laparoscopic cholecystectomy(LC), and the others by open cholecystectomy. 18 cases(33.3%) were found during the operations; 24 cases(44.4%) were found more than 24 hours after operation; 12 cases(22.3%) were diagnosed a month later after operation. Thirty three of the 54 cases got curative effects after the reoperation, 28 having 2 or more times operations. Three patients died after reoperation. Conclusions Correctly handling the principle and means of IBDI therapy, and realize the characteristics of IBDI of LC are important for treatment of IDBI. Roux en y cholangiojejunostomy is the best effective treatment for IBDI. |
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| Keywords: | BILE DUCT EXTRAHEPATIC/inj ?IATROGENIC DISEASE ?CHOLECYSTECTOMY/adv eff |
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