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开腹胆囊切除术胆道损伤的防治体会

代鸿华

河北医学2012,Vol.18Issue(7):945-947,3.
河北医学2012,Vol.18Issue(7):945-947,3.DOI:10.3969/j.issn.1006-6233.2012.07.030

开腹胆囊切除术胆道损伤的防治体会

Prevention and Treatment of Biliary Tract Injury Due to Open Cholecystectomy

代鸿华1

作者信息

  • 1. 重庆市綦江县人民医院,重庆,綦江,401420
  • 折叠

摘要

Abstract

Objective: To study the reasons and treatment of biliary injury in open cholecytectomy. Method: A total of 1021 patients with open cholecystectomy were analysed during Jan. 1999 to Jan. 2010. Result: There was one case of injury of right hepatic duct and another case of partial injury of common bile duct. All injuries were found intraoperation and offered therapeutic measures in time, and cured successely. Conclusion: The key to avoid bile duct injury in open cholecystectomy are consummate general examination, criterion and careful operation, well exposure to Calot triangle, distinguish the relation of common bile duct, common hepatic duct and cystic duct, pay attention to the variation of Calot triangle. Repair,connect,sustain drainage or Roux-Y cholangiojejunostomy in time, is main method in treatment of biliary injury.

关键词

开腹胆囊切除术/胆道损伤

Key words

Open cholecystectomy/Biliary injury

引用本文复制引用

代鸿华..开腹胆囊切除术胆道损伤的防治体会[J].河北医学,2012,18(7):945-947,3.

河北医学

OACSTPCD

1006-6233

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