胆囊切除术致胆管损伤的处理

Managment of the bile duct injury caused by Cholycystectomy

作者总结了21例胆囊切除术致胆管损伤的治疗。其中7例在术中及时发现处理。1例因手术方法不当，疗效较差，6例均获得较好效果。14例为术后24h到3个月因顽固胆瘘、腹膜炎或进行性黄疸再行手术。作者体会，要提高对胆管损伤的疗效，术中的及时发现处理非常重要，对于损伤后近期及远期修复的病例，准确掌握手术时机及运用正确的手术方法也是至关重要的。

Twenty one cases of bile duct injury caused by cholycystectomy were treated by the authors. Seven cases were found and treated intraoperatively with good results except one for irregular procedures. The main manifestations after injury were bilious peritonitis and aggravating jaundice. Fourteen cases underwent reoperation from one day tp thers months after operation,ten of whom received the third operation from three tp six months after second operation. It is emphasized that finding and proper treatment at the time of operation is important. For those short-term and ling-term repair patients,timing of reoperation and appropriate technique is also important.