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.