关键词: 医源性胆管损伤, 分型, 手术时机

Abstract:

More attention should be paid to the problems in the diagnosis and treatment of iatrogenic bile duct injury                QUAN Zhi-wei, WANG Jian-dong. Department of General Surgery, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine，Shanghai 200090，China Corresponding author：QUAN Zhi-wei，E-mail：zhiwquan@163.com
Abstract    Iatrogenic bile duct injury is still one of the difficulties and hotspots in biliary surgery，because of its high incidence，disability and mortality. At the same time，iatrogenic bile duct injury is a kind of disease with "human factors" as the main cause. It is possible to reduce its occurrence，change its malignant outcome and benefit patients through the efforts of surgeons. Every abdominal surgeon will face the risk of bile duct injury in the whole time. So everybody must be vigilant，subjective familiar with the possible causes of bile duct injury，bile duct injury prevention and reasonable selection of the treatment method of bile duct injury.    Attention should be paid to the delayed injury and long-term curative effect of bile duct injury and the guiding significance of iatrogenic bile duct injury classification in clinical treatment should be re-recognized. Surgeons must not perform surgery as their own wishes to avoid catastrophic consequences. Adhering to the policy of "prevention first，timely detection，reasonable treatment and protecting function"，the therapeutic effect of iatrogenic bile duct injury in China will be effectively improved.

Key words: iatrogenic bile duct injury, classification, timing of repair