中国普通外科杂志2011，Vol.20Issue(2)：180-182,3.
医源性胆道损伤并肝蒂血管损伤诊疗体会:附6例报告
Diagnosis and management of iatrogenic bile duct injury with hepatic pedicle vascular injury :a report of 6 cases
吴金术 1彭创 1欧晔 1成伟1
作者信息
- 1. 湖南省人民医院,肝胆外科,湖南,长沙,410005
- 折叠
摘要
Abstract
Objective To study the experience in diagnosis, management and prevention of iatrogenic bile duct injury ( IBDI ) with hepatic pedicle vascular injury. Methods A total of six patients with iatrogenic bile duct injury and hepatic pedicle vascular injury treated from Jan 1990 to Dec 2007 were involved in this retrospective analysis. Results In the six cases of iatrogenic bile duct injury, three of them were Type Ⅲ and the other three were Types Ⅵ. Pedicle vascular injury included left hepatic artery injury, right hepatic artery, left-portal vein and right-portal vein injury. Two cases died on the third day and five months after surgery, respectively. The other four cases suffered a series of serious complications, but were cured by surgical treatment. All the four cases underwent follow-up survey; they were all well for 6 months to 17 years. Conclusions Iatrogenic bile duct injury (IBDI) with hepatic pedicle vascular injury is difficult to deal with, and is one of the fatal complications of cholecystectomy. The key to prevention of IBDI with hepatic pedicle vascular injury lies on properly dealing with bleeding from hepatic pedicle.关键词
胆道/损伤/血管/损伤/医源性疾病/胆囊切除术/副作用分类
医药卫生引用本文复制引用
吴金术,彭创,欧晔,成伟..医源性胆道损伤并肝蒂血管损伤诊疗体会:附6例报告[J].中国普通外科杂志,2011,20(2):180-182,3.
