中国实用外科杂志

中国实用外科杂志

• 专题笔谈 • 上一篇    下一篇

腹腔镜在胆管损伤后胆管狭窄治疗中应用价值及争议

刘    毅，尹新民   

  1. 湖南省人民医院肝胆微创外科，湖南长沙410005
  • 出版日期:2018-09-01 发布日期:2018-09-07

  • Online:2018-09-01 Published:2018-09-07

摘要：

医源性胆管损伤是胆管外科医师永远都无法避免的议题。医源性胆管损伤后病人会出现胆漏、胆管狭窄、胆汁性肝硬化等并发症，甚至导致灾难性的后果，给医师带来严重精神负担。目前医源性胆管损伤后期胆管狭窄处理仍是以胆肠内引流为主要的治疗方法。随着腹腔镜技术在肝胆外科的广泛发展，腹腔镜下胆肠内引流术为医源性胆管损伤后期的治疗带来新的理念及方法。

关键词: 医源性胆管损伤, 胆管狭窄, 腹腔镜胆肠内引流术

Abstract:

Value and controversy of laparoscopy in the treatment of biliary tract stenosis after biliary tract injury        LIU Yi,YIN Xin-min. Department of Hepatobiliary and Pancreatic Surgery, Hunan People's Hospital,Changsha 410005,China
Corresponding author：YIN Xin-min，E-mail:13319587618@163.com
Abstract    Iatrogenic bile duct injury is an unavoidable issue for biliary surgeons.After iatrogenic biliary tract injury，patients with bile leakage，biliary stricture，biliary cirrhosis and other related complications may even lead to disastrous consequences，which also bring serious mental burden to the physician. At present，the treatment of biliary stricture after iatrogenic bile duct injury is still mainly treated by choledochojejunostomy. With the extensive development of laparoscopic technology in Department of Hepatobiliary Surgery，laparoscopic choledochojejunostomy is a new concept and method for the treatment of iatrogenic biliary tract injury.

Key words: iatrogenic bile duct injury, biliary stricture, laparoscopic choledochojejunostomy