修复时机对复杂腹腔镜胆囊切除术致医源性胆道损伤患者的影响分析OA

Objective:To investigate the effect of repair timing on iatrogenic biliary tract injury caused by complex laparoscopic cholecystectomy(LC).Methods:Data of 60 patients with iatrogenic biliary duct injury admitted to Xinghua Hospital of Traditional Chinese Medicine from January 2021 to November 2023 were retrospectively selected as the study objects.According to the timing of surgical repair,the patients were divided into a delayed repair group and a non-delayed repair group,with 30 cases in each group.The delayed repair group completed the repair 72 h after injury,and the non-delayed repair group completed the repair within 72 h after injury.Bismuth classification,operation and complications were compared between the two groups.Results:There was no significant difference in Bismuth classification between the two groups(P>0.05).The operation time and postoperative hospital stay in the non-delayed repair group were shorter than those in the delayed repair group,the differences were statistically significant(P<0.05).The incidence of complications in the non-delayed repair group was 10.00%,which was lower than 36.67%in the delayed repair group,the difference was statistically significant(P<0.05).Conclusion:For patients with LC surgery with complicated conditions,the risk of iatrogenic biliary tract injury should be vigilant,timely detection of injury and correct repair methods can reduce the risk of complications.