关键词: 腹腔镜胆囊切除术, 胆管损伤, 影像学特征

Abstract:

The imaging features and its value of bile duct injury caused by laparoscopic cholecystectomy     FANG Chi-hua, YANG Jian. Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282,China
Corresponding author：FANG Chi-hua, E-mail: fangch_dr@126.com
Abstract    Bile duct injury (BDI) is one of the most serious complications of laparoscopic cholecystectomy. And it would even endanger the patient's life if not promptly handled, or mishandled. Only a small part of the BDI could be found in time during surgery, and more of them are discovered until postoperative symptoms and signs appeared. Imaging technology could help the diagnosis of BDI and make sure of the site and type of injury, which is very important on making complete treatment . B ultrasonic and CT examination are the most commonly used diagnostic methods for suspected BDI because of their non-invasiveness. Other methods are mainly through the way of biliary tract imaging, showing the damage of bile duct, including cholangiography, or postoperative magnetic resonance cholangiopancreatography, percutaneous transhepatic angiography, endoscopic retrograde cholangiopancreatography and so on.

Key words: laparoscopic cholecystectomy, bile duct injury, imaging feature