中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (07): 591-593.

• 论著 • 上一篇    下一篇

腹腔镜胆囊切除术胆管损伤危险因素分析

王    宏，罗建管，梁    鹏，易旭华，李虎山，肖怀忠，杨    明   

  1. 湖南省浏阳市人民医院肝胆外科，湖南浏阳410300
  • 出版日期:2011-07-01 发布日期:2011-06-17

  • Online:2011-07-01 Published:2011-06-17

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摘要：

目的    分析腹腔镜胆囊切除术（LC）胆管损伤的危险因素。方法    回顾性分析湖南省浏阳市人民医院1999年10月至2010年12月所行4531例LC病人的临床资料，对出现胆管损伤病人各影响因素进行χ2检验，并分析胆管损伤的独立危险因素。结果    单因素分析显示：病人性别、炎症分期、B超示胆囊壁厚度、胆囊三角解剖和术者经验与胆总管损伤有关联（P＜0.05）。多因素非条件Logistic回归分析结果显示：胆囊三角解剖和术者经验是胆管损伤的独立危险因素（P＜0.05）。结论  胆囊三角解剖和术者经验是胆管损伤的独立危险因素。

关键词: 腹腔镜胆囊切除术, 胆管损伤, 危险因素

Abstract:

Risk factors analysis of bile duct injuries caused by laparoscopic cholecystectomy        WANG Hong, LUO Jian-guan, LIANG Peng, et al. Department of Hepatobiliary Surgery, People’s Hospital of Liuyang City, Liuyang 410300, China 
Corresponding author: WANG Hong, E-mail：wanghong810112@tom.com
Abstract    Objective    To analyze risk factors of bile duct injuries caused by laparoscopic cholecystectomy. Methods The clinical data of 4531 cases of laparoscopic cholecystectomy between October 1999 and December 2010 in People’s Hospital of Liuyang City were analyzed retrospectively. All influential factors were checked in chi square, and independent risk factors about bile duct injuries were analyzed simultaneously. Results    Univariate analysis showed bile duct injuries were associated with gender, staging of inflammation, thickness of cholecyst wall by sonography, anatomy of Calot’s triangle and surgical experience (P＜0.05). Anatomy of Calot’s triangle and surgical experience were independent risk factors of bile duct injuries, which was showed by multivariate unconditional Logistic regression analysis (P＜0.05). Conclusion    Anatomy of Calot’s triangle and surgical experience are independent risk factors of bile duct injuries.

Key words: laparoscopic cholecystectomy, bile duct injury, risk factor