腹腔镜外科杂志2012，Vol.17Issue(4)：288-290,3.
熟悉胆囊管解剖特点预防腹腔镜胆囊切除术中胆管损伤的临床价值
The clinical value of familiarity of cystic duct anatomical features to prevent bile duct injury in laparoscopic cholecystectomy
陆昌友 1黄君 1樊建新 1郭伟昌 1任锐1
作者信息
- 1. 宜宾市第一人民医院,四川宜宾,644000
- 折叠
摘要
Abstract
Objective:To explore the clinical value of anatomical features of cystic duct to prevent bile duct injury in laparoscopic cholecystectoray. Methods: The clinical data of 2 140 cases of laparoscopic cholecystectomy between Jan. 2005 and Dec. 2011 in the First Peopled Hospital of Yibin were analyzed retrospectively. Results: All 2 140 cases were operated successfully with laparoscopic cholecystectomy,there was no extrahepatic bile duct injury in all the patients. There were typical anatomical features of cystic duct in 2 072 cases. The cystic duct was short in 43 cases. The anatomic variation of cystic duct included low location of the convergence of the cystic duct and the common bile duct (10 cases),cystic duct opening into the posterior wall of the common bile duct in 9 cases,the cystic duct and common bile duct sharing lateral wall in 6 cases. There were postoperative complications in 8 cases, including biliary leakage in 4 cases (cured by a second operation) ,bleeding at the puncture site in 1 case,infection of the puncture site in 1 case,and residual stones of common bile duct in 2 cases (cured by ERCP). Conclusions:Familiarity of the anatomical feature of cystic duct is one of the important measures to prevent the incidence of extrahepatic bile duct injury in laparoscopic cholecystectomy. On the basis of paying attention to the careful anatomy of Calot triangle,the bile duct should be resected after its anatomy is clear.no matter whether or not there is variation of bile duct.
[关键词
胆囊切除术,腹腔镜/胆囊管/解剖学/胆管损伤Key words
Cholecystectomy,laparoscopic/Cystic duct/Anatomy/Bile duct injury分类
医药卫生引用本文复制引用
陆昌友,黄君,樊建新,郭伟昌,任锐..熟悉胆囊管解剖特点预防腹腔镜胆囊切除术中胆管损伤的临床价值[J].腹腔镜外科杂志,2012,17(4):288-290,3.
