Abstract: Prevention and countermeasure of bile duct injury during laparoscopic hepatectomy        WANG Hong-guang*， WANG Zhi-hao，YAO Ming-jun. National Cancer Center， National Cancer Research Center， Hepatobiliary Surgery， Chinese Academy of Medical Sciences Peking Union Medical College Cancer Hospital， Beijing 100032， China
Corresponding author: WANG Hong-guang, E-mail: wanghongguang301@163.com
Abstract    With the entensive development of laparoscopic hepatectomy , intraoperative bile dut injury has been paid more and more attention. The variation of the biliary tract in hepatic vasculature is common, and intraoperative biliary duct injury is easy to occur. It is often manifested as biliary stenosis and biliary leakage, which is unfavorable to the prognosis of patients. Preoperative image data reading, intraoperative fine anatomical operation, the correct use of the cutter and closure device, laparoscopic ultrasound, and indocyanine green(ICG) fluorescence imaging will avoid the occurrence of bile duct injury in laparoscopic hepatectomy to the greatest extent.

Key words: laparoscopic hepatectomy, biliary duct injury, laparoscopic ultrasound, ICG fluorescence imaging

摘要： 随着腹腔镜肝切除的广泛开展，术中胆管损伤逐渐受到重视。肝脏脉管系统中胆道的变异较为常见，也是术中容易发生胆管损伤的主要原因。腹腔镜肝切除术中胆管损伤常表现为胆道狭窄、胆漏等，对病人预后不利。术前影像学资料的仔细阅读、术中精细解剖操作、正确使用切割闭合器、腹腔镜超声及吲哚菁绿（ICG）荧光显像技术的应用将最大程度避免腹腔镜肝切除术中胆管损伤的发生。

关键词: 腹腔镜肝切除, 胆管损伤, 腹腔镜超声, ICG荧光显像