腹腔镜胆囊切除术中胆管损伤的预防

Prevention of biliary duct injury in laparoscopic cholecystectomy

目的探讨腹腔镜胆囊切除术中胆管损伤的预防措施。方法回顾性分析2002年12月-2007年12月484例腹腔镜胆囊切除术患者的临床资料，总结预防胆管损伤的经验。结果本组患者无胆管损伤发生，中转开腹26例（5．37％），放置腹腔引流管20例。结论熟悉胆管解剖，仔细地处理胆囊三角是避免LC术中胆管损伤的关键。

Objective To explore how to prevent biliary duct injury during laparoscopic cholecystecto- my. Methods The clinical data of 484 cases of laparoscopic cholecystectomy from December 2002 to De- cember 2007 were retrospectively analyzed, and the experiences of preventing biliary duct injury were sum- marized. Results No biliary duct injury case was found but 26 cases were converted to laparotomy during operation and 20 cases were placed drainage tube. Conclusion Familiar with the anatomy of bile duct, careful handling of the Calot＇s triangle are the keys to prevent biliary duct injury in LC.