期刊文献+

腹腔镜胆囊切除术胆管损伤的诊断及处理 被引量:2

The diagnosis and management of bile duct injury during laparoscopic cholecystectomy
原文传递
导出
摘要 目的总结腹腔镜胆囊切除术(LC)胆管损伤的特点及诊断和处理的经验教训。方法回顾性分析23例LC胆管损伤的诊治情况。结果主胆管损伤12例,其中胆总管横断6例,肝总管横断2例,右肝管横断1例,胆总管横行夹闭1例,胆总管和肝总管裂孔各1例。副肝管损伤11 例,其中迷走胆管损伤1例,细小副肝管损伤7例,较粗大的副肝管损伤3例。本组病例全部治愈。结论LC较开腹胆囊切除术更易发生胆管损伤,且损伤更为隐蔽、复杂,处理困难,预后差。应根据不同的情况选择适当的手术方式。 Objective To report on the experiences related to diagnosing and managing the bile duct injury in laparoscopic cholecystectomy. Methods To analyse retrospectively the diagnostic and treating experience in 23 cases of bile duet injury. Results Twelve cases of the common bile duct injury, 6 cases of transection of common bile duct, 2 cases of transection injury of common hepatic duct, one case of transection of right hepatic duct, one case of transverse clip block of common bile duct, perforation in each of common bile duct and common hepatic duct. Eleven cases of accessory hepatic duct injury, including one case of aberrant bile duct injury, 7 cases of tiny accessory hepatic duct injury and 3 cases of thick accessory hepatic duct injury. All cases in this group were cured. Conclusion Comparing with LC and open cholecysteetomy, occult bile duct injury is more readily to happen in LC with more difficulty in repairment and poor prognosis. Therefore we should strictly select the appropriate operative manual according to patient's situation.
出处 《中华消化内镜杂志》 2005年第5期323-326,共4页 Chinese Journal of Digestive Endoscopy
  • 相关文献

参考文献4

  • 1Strasberg SM.Hertl M,Soper N.An analysis of the problem of biliary injury during laparoscopic cholecystectomy,H Am Coll Surg,1995,180:101-107.
  • 2Deziel Dj,Millikan KW,Economous SG,et al.Complications of laparoscopic cholecystectomy:a national aurvey of 4292 hospitals and an analysis of 77604 cases.Am J Surg,1993,31:390-392.
  • 3刘永雄,纪文斌.电视腹腔镜胆囊切除术:国内资料汇集[J].中华外科杂志,1993,31(7):390-391. 被引量:101
  • 4Lillemoe KD,Melton GB,Cameron JL.et al.Pastoperative bile duct strictures:management and outcome in the 1990s.Ann Surg,2000,232:432-441.

共引文献100

同被引文献3

引证文献2

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部