急性胆囊炎行腹腔镜胆囊切除术中胆道损伤防治的临床研究的疗效

Acute cholecystitis underwent laparoscopic cholecystectomy in the clinical study of bile duct injury prevention

目的:探讨急性胆囊炎行腹腔镜胆囊切除术中胆道损伤的防治措施;方法:回顾性分析2007年1月至2011年我院应用腹腔镜胆囊切除术治疗急性胆囊炎术中发生胆道损伤患者7例的临床资料;结果:7例胆管损伤患者均得到良好的治疗效果,病例中均放置T管引流及腹腔橡皮引流管引流,所有患者随访一年均未发生胆道狭窄并发症;结论:术中对胆道解剖知识的认识透彻,及时正确的中转开腹手术可以使腹腔镜的胆道损伤降低到最小程度。

acute cholecysfitis underwent laparoscopic cholecystectomy bile duct injury prevention and control measures; Methods A retrospective analysis in Jariuary 2007 to 2011, our hospital laparoscopic cholecystectomy for acute cholecystitis in patients with bile duct injury occurred in patients The clinical data of 7 cases; results were 7 cases of bile duct injury patients get good treatment, patients were placed in the abdominal cavity rubber T tube drainage tube drainage and drainage, all patients were followed up one year of complications of biliary stricture did not occur; conclusion of surgery thorough understanding of biliary anatomy knowledge, timely and correct conversion to open surgery to laparoscopic bile duct injury can be reduced to a minimum.