胆囊切除术_____胆囊切除术，腹腔镜；胆管，肝外；损伤

腹腔镜下胆囊切除并发肝外胆管横断损伤的原因及对策

http://www.100md.com 《腹腔镜外科杂志》 2006年第2期

胆囊切除术,,胆囊切除术，腹腔镜；胆管，肝外；损伤,1临床资料,2讨论,参考文献：

     【摘要】目的：探讨腹腔镜胆囊切除术(LC)致胆管损伤的特点及处理方法。方法：回顾总结我院224例LC的临床资料，分析2例胆管横断损伤的原因及对策。结果：经治疗2例均顺利恢复，随访一年，无胆管狭管。结论：患者年龄大、病程长、存在类 Mirizzi 综合征及“假 Calot 三角”的患者，是LC胆管损伤的高危因素。术中发现立即修复，效果比较理想。

    【关键词】胆囊切除术，腹腔镜；胆管，肝外；损伤

    Reason and countermeasure of bile duct injury caused by laparoscopic cholecystectomy

    HUANG Guoxiang,SHAN Jiliang,

    Dept. of General Surgery,the Hospital of Traditional Chinese Medicine of Sichuan Pixian County,Pixian 611730,China;2.The Medical School of Pixian County

    【Abstract】 Objective:To explore characteristics and management of bile duct injury caused by laparoscopic cholecystectomy.Methods:Clinical data of two cases of bile duct iujury caused by laparoscopic cholecystectomy were retrospectively analyzed.Results:2 cases recovered well and no biliary stricture occurred during the followup one year.Conclusions:Old patients,long course of disease,Mirizzilike syndrone,and "Sham Calot triangle" are the dangerous factors of bile duct injury in LC.The immediate reparation once the bile duct injury occuring is the ideal treatment. ......

百拇医药网 http://www.100md.com/html/DirDu/2006/05/31/97/98/90.htm

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