摘要
目的探讨腹腔镜下胆道横断后重建和修复的可行性。方法总结分析2002年8月至2008年4月收治的24例电视腹腔镜术中胆管横断后应用腹腔镜技术进行胆道重建的经验体会，包括手术适应证、禁忌证及有关手术技巧等。本组24例胆道横断的原因包括胰十二指肠切除术中胆总管横断15例，胆总管囊肿切除术中胆总管横断6例，高位胆管癌根治术中肝总管横断1例，腹腔镜胆囊切除术中肝门胆管横断伤1例，胃癌根治术中左肝管横断伤1例。结果24例全部在腹腔镜下成功进行胆道重建与修复，术后发生胆漏1例，无胆管狭窄等其他并发症。结论腔镜下胆道重建和修复是可行的、安全的．可在有条件的医院中讲行推广。
Objective To discuss the feasibility of biliary reconstruction and rehabilitation after transection injury of biliary duct by laparoscopy. Methods The clinical data of 24 cases receiving biliary reconstruction after transection injury of biliary duct by laparoscopy were analyzed retrospectively from August 2002 to April 2008, including operation indications, contraindications, related operation skills and so on. In these 24 cases, the reasons of transection of biliary duct as followed： 15 cases were pancreaticoduodenectomy,6 cases were resection of the choledochal cyst, 1 case was resection of high cholangiocarcinoma, 1 case was cholecystectomy and 1 case was resection of gastric cancer. Results Biliary reconstruction and rehabilitation was successfully completed in 24 cases by laparoscopy. There was 1 case of bile leakage and no duct stenosis complications. Conclusions Biliary reconstruction and rehabilitation by laparoscopy was feasible and safe procedure,has a high successful rate, and deserves further clinical trials in hospitals.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2008年第23期1771-1773,共3页
Chinese Journal of Surgery
关键词
腹腔镜检查
胆管
创伤和损伤
Laparoscopy
Bile ducts
Wounds and injuries
