腹腔镜胆囊切除术胆管损伤危险因素分析

Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (07) : 591-593.

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PDF(521 KB)
Chinese Journal of Practical Surgery ›› 2011, Vol. 31 ›› Issue (07) : 591-593.
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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

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