基层医院腹腔镜胆囊切除术防治胆管损伤的体会

Prevention and treatment of bile duct injury during laparoscopic cholecystectomy in primary hospital

目的:总结基层医院腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)预防和治疗胆管损伤的体会。方法:回顾分析1994年10月至2008年12月为12 759例患者行LC的临床资料。结果:胆道损伤16例,胆道损伤率0.13%。结论:熟练的操作技巧可减少或避免胆管损伤的发生,早期诊断和及时处理胆管损伤是重要举措。

Objective：To summarize how to prevent and treat bile duct injury during laparoscopic cholecystectomy（LC） in primary hospital.Methods：The clinical data of 12 759 patients treated by LC between Oct.1994 to Dec.2008 were analyzed retrospectively.Results：Bile duct injury occurred in 16 patients（0.13%）.Conclusions：Skilled surgical performance can avoid or minimize the incidence of bile duct injury.Early detection and active repair of the bile duct injury is the most important measure.