微小切口胆管外科临床应用20000例报告

Clinic Study of Small Incision on the Bile Duct Surg in 20000 Cases

目的：探讨微小切口在胆管外科的临床应用。方法：回顾分析1991年4月至2011年1月用2-7 cm微小切口完成20 000例胆管外科手术的临床应用资料。结果：全组微小切口手术成功19 455例（97.28%）,延长切口545例（2.73%）。严重并发症包括胆管损伤23例（0.12%）、横结肠损伤6例（0.03%）、术中大出血9例（0.05%）、漏胆39例（0.19%）,死亡5例（0.03%）。结论：在传统胆管外科技术熟练的基础上开展微小切口胆管外科手术是安全可行的。

Objective：To discuss the clinical application of small incision on the bile duct surg.Methods：The clinical data of 20 000 patients receiving small incision of the bile duct surg from April 1991 to January 2011 were analysed.Results：The 19 455 cases（97.28%）were cured with small incision,545 cases（2.73%）incision were lengthened.Serious complications were 23 cases（0.12%）of bile duct injury,6 case（0.03%）of colon injury,9 cases（0.05%）of massive haemorrhage,39 cases（0.19%）of leak bile,5 cases（0.03%）of died.Conclusion：To skillfully operator the conventional bile duct surg should be safely performed with small incision.