摘要
目的:探讨预防小切口胆囊切除术(MC)中胆道损伤的方法。方法:对本组15131例MC中发生的18例胆道损伤进行回顾分析。结果2004年12月前施行MC2321例,发生胆道损伤9例(0.39%),2005年以来实施MC12810例,发生胆道损伤9例(0.07%)。结论:思想上高度重视、规范手术适应证、规范手术操作是预防MC中胆道损伤的关键。
Objective: To evaluate the means of preventing bile duct injury in mini -cholecystectomy(MC). Methods: Among 15131 cases of MC, 18 cases of bile duct injury were analyzed in retrospect. Results: 2321 cases MC had been performed before Dec 2004, and resulted in 9 cases of bile duct injury(0.39% ). 12810 cases MC have been operated since 2005, and caused 9 cases of bile duct injury(0.07% ). Conclusion: The key of preventing bile duct injury in MC is to pay close attention to think,standardize operation indication and standardize operation performance.
关键词
小切口胆囊切除术
胆道损伤
预防
mini - eholeeysteetomy
bile duct injury
prevention