腹腔镜胆囊切除术胆管损伤的风险因素分析及术中防治措施

Risk factors analysis and prevention and intervention measures of bile duct injury in laparo-scopic cholecystectomy

  • 摘要: 腹腔镜胆囊切除术(LC)是治疗胆囊结石、胆囊息肉等胆囊良性疾病的首选方式。胆管损伤是其严重并发症,虽然发生率较低,但处置不当会严重影响病人的生命质量,因此,预防和正确处理LC胆管损伤至关重要。笔者查阅国内外相关研究,探讨LC胆管损伤的风险因素,分享术中及时发现、诊断、规范处理经验,为肝胆外科医师提供参考。

     

    Abstract: Laparoscopic cholecystectomy (LC) is the first preferred treatment of benign gallbladder diseases such as gallbladder stones and gallbladder polyps, however bile duct injury is a serious complication of LC. Although bile duct injury is a rare complication, improper treatments will seriously affect the quality of life or even threaten life. Therefore, the prevention and correct treatments of bile duct injury in LC are crucial. Based on domestic and overseas researches, the authors investigate risk factors for bile duct injury in LC, share experiences of timely detection, diagnosis and treatment, so as to provide references for hepatic and biliary surgeons.

     

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