关键词: 腹腔镜胆囊切除术, 医源性胆管损伤, 专家共识, 指南

Abstract: Interpretation of Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury during Cholecystectomy        YAN Jia-yan*，ZHAO Yue, CHEN Wei.*Department of Biliary-Pancreatic Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200011, China
Corresponding author: CHEN Wei, E-mail：chensurg@aliyun.com
Abstract    Iatrogenic bile duct injuries are the most common serious complication of laparoscopic cholecystectomy. They are also one of the major causes of increased costs to the health care system，poorer quality of life of patients and increased medical disputes. Optimization of factors covering anatomic identification techniques，surgical techniques，risk assessment and control，intraoperative management of injury during cholecystectomy and improvement of surgeon experience will help reduce the risk of bile duct injuries. An international panel of 25 experts from Society of American Gastrointestinal and Endoscopic Surgeons（SAGES），the Americas Hepato-Pancreato-Biliary Association，the International Hepato-Pancreato-Biliary Association，the Society of the Alimentary Tract，and the European Association for Endoscopic Surgery voted on 18 raised key questions and recommendations based on evidence and approved 17 consensuses. These consensus recommendations should provide essential practical guidance to surgeons，medical training institutions，hospitals，and professional societies for reasonable and effective strategies that have the potential to reduce bile duct injuries and improve patient outcomes.

Key words: laparoscopic cholecystectomy, iatrogenic bile duct injuries, expert consensus, guideline