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腹腔镜胆囊切除术中肝外胆管损伤的因素分析及对策

秦兴陆 李晓凯 杨世昆 刘斌 梁云

昆明医科大学学报Issue(12):37-39,52,4.
昆明医科大学学报Issue(12):37-39,52,4.

腹腔镜胆囊切除术中肝外胆管损伤的因素分析及对策

Analysis of the Causes and Countermeasures of Bile Buct Injury in Laparoscopic Cholecystectomy

秦兴陆 1李晓凯 1杨世昆 1刘斌 1梁云1

作者信息

  • 1. 昆明医科大学第一附属医院肝胆外科,云南昆明 650032
  • 折叠

摘要

Abstract

Objective To reduce or prevent the incidence of bile duct injury in the laparoscopic cholecystectomy,and reduce the postoperative complications of Bile duct injury in the laparoscopic cholecystectomy by time and exact treatment during the surgical procedure.Methods We retrospectively analyzed the clinical data of 8700 cases of LC, including 12 cases of bile duct injury, from September 1991 to today. The corresponding treatment was used in LC to avoid bile duct injury, when bile duct injury occurred, the injury was recognized and immediately repaired by surgery. Result The mean follow-up period after surgery was 5-10 years,all 12 patients with bile duct injury were cured and discharged. Conclusions We should correctly handle the relationship of various duct and avoid burn or cut duct for reducing incidence of the extrahepatic bile duct injury. Correct treatment can reduce or avoid the incidence of postoperative complications.

关键词

腹腔镜/胆囊/胆管损伤

Key words

Laparoscopy/Gallbladder/Bile duct injury

分类

医药卫生

引用本文复制引用

秦兴陆,李晓凯,杨世昆,刘斌,梁云..腹腔镜胆囊切除术中肝外胆管损伤的因素分析及对策[J].昆明医科大学学报,2013,(12):37-39,52,4.

基金项目

云南省应用基础研究基金资助项目 ()

昆明医科大学学报

OACSTPCD

1003-4706

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