腹腔镜胆囊切除术胆管损伤的预防

目的：探讨腹腔镜胆囊切除术（LC）中胆管损伤的原因及防止。方法：回顾性分析我院531例成功487例LC患者的临床资料。结果：术中胆管损伤7例：其中胆总管横断3例,胆总管灼伤2例,右胆管损伤1例,副肝管损伤1例。结论：腹腔镜胆囊切除术（LC）术中正确判断解剖关系,正确解剖和显露Calot三角是防止损伤的技术关键,防止盲目电凝、钳夹止血,以及及时的中转开腹是预防胆管损伤的有效措施。

The Prevention of the Biliary Ducts Injury in Laparoscopic Cholecystectomy

Objective： To explore the causes and preventions of the biliary ducts injury in laparoscopic cholecystectomy （LC）. Methods：The clinical data of 487 cases performed by LC were analyzed retrospectively to disscuss the operative skill and the avoiding of complication. Results： There were 7 cases with the biliary ducts injury during operation. Conclusion： LC during operation, the correct judgment of anatomic relations and revealed that the Calot triangle was the key of technic, to prevent the bile duct from injury. Preventing blind coagulation, using forceps to stop bleeding and timely conversion to use laparotomy technique, were the effective measure to prevent bile duct injury.