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腹腔镜胆囊切除术胆囊床下肝管损伤10例处理体会

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摘要 目的:探讨LC术中胆囊床下肝管损伤的预防及治疗方法。方法:对10例LC术中胆囊床下肝管损伤患者的临床资料作回顾性分析。结果:10例均术中中转开腹,术后3例发生胆瘘,其中2例在引流5天内胆瘘停止。其中1例为术后6天才发生胆瘘,再次开腹手术引流4周后胆瘘停止。单枝胆囊床下肝管9例,2枝1例。结论:LC术中在剥离胆囊床时要特别留意有无异常管道,胆囊切除后在胆囊床及肝门部放置白纱布以便发现不明显的胆瘘,胆囊取出后应常规检查胆囊标本有无除胆囊管及血管外的异常管道。术中发现异常应中转开腹。
作者 孔祥红 李曙
出处 《中国社区医师(医学专业)》 2010年第11期37-38,共2页
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