摘要
Abstract
Bile duct injury(BDI)following the widely performed laparoscopic cholecystectomy(LC)remains a serious complication.Its incidence ranges from approximately 0.32％to 0.8％,but the actual incidence may be higher due to variations in statistical conditions.BDI not only impairs patients' quality of life but may also shorten their lifespan.Numerous preventive measures for BDI are available,including critical view of safety(CVS),intraoperative cholangiography(IOC),indocyanine green fluorescent cholangiography(ICG-C),artificial intelligence model assistance,and subtotal cholecystectomy.Each method has its own applicable cases,advantages,and disadvantages.Various classification systems exist for BDI,yet no unified standard has been established.Only the Bismuth-Strasberg Type E injury has gained relatively high recognition,and there is little significance in reluctantly classifying non-immediate injuries.Treatment methods include endoscopic/interventional therapy and surgical procedures such as repair,end-to-end anastomosis,choledochojejunostomy,hepatectomy,and liver transplantation.The treatment of BDI emphasizes early repair by specialized surgeons in well-equipped hospitals using microsurgical techniques.Post-repair follow-up is required for at least 3 to 5 years.Additionally,it is important to note that BDI is frequently accompanied by concomitant vascular injury and is prone to complications such as bile leakage.Delayed repair is associated with a poorer prognosis.关键词
胆囊切除术/胆管损伤/腹腔镜手术Key words
cholecystectomy/bile duct injury/laparoscopic surgery分类
医药卫生
