中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (07): 594-595.

• 论著 • 上一篇    下一篇

胆囊切除术致高位胆管损伤原因及处理

孙中杰，胡海田，范志勇，杜立学   

  1. 陕西省人民医院肝胆外科，陕西西安 710068
  • 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    探讨医源性胆管损伤的原因及处理方法。方法    回顾总结陕西省人民医院1997-2010年间收治的18例胆管损伤病人的临床资料。结果    全部病例均为胆囊切除术后，胆管损伤发生于肝总管及以上部位，经过1次或1次以上手术治疗后痊愈，随访1~5年无胆管狭窄。结论    医源性胆管损伤发生后及时正确处理是改善预后的关键。

关键词: 胆囊切除术, 胆管损伤, 肝肠吻合术

Abstract:

The reasons and treatment of high bile duct injury caused by cholecystectomy        SUN Zhong-jie, HU Hai-tian, FAN Zhi-yong, et al. Department of Hepatobiliary Surgery, People’s Hospital of Shanxi Province, Xi’an 710068, China
Corresponding author: SUN Zhong-jie,E-mail:szj270@163.com
Abstract    Objective    To investigate the reasons and treatment of iatrogenic bile duct injury. Methods    The clinical data of 18 patients with bile duct injury treated from 1997 to 2010 in People’s Hospital of Shanxi Province were analyzed retrospectively. Results    All patients were performed cholecystectomy complicated with bile duct injury above the common hepatic duct. All patients were cured by one or more than one operations. No bile duct stricture occurred during the follow up period of 1-5 years. Conclusion    The key to improve the prognosis of bile duct injury is prevention and treatment in proper time and in correct way.

Key words: cholecystectomy, bile duct injury, hepatoenterostomy