腹腔镜胆囊切除术预防胆管损伤613例的体会

Experience of bile duct injury prevention in 613 cases of laparoscopic cholecystectomy

目的：探讨行腹腔镜胆囊切除术预防胆管损伤的方法及措施。方法：回顾分析613例患者行 LC 的资料。结果：共完成 LC 术609例，中转4例，手术时间30～120min，无胆管损伤发生。结论：严格的术前评估、术者良好的心态、规范的手术操作、果断及时的中转开腹及高度重视胆囊管的变异可有效预防胆管损伤的发生。

Objective：Explore the bile duct injury prevention in laparoscopic cholecystectomy. Methods：Analysis 613 cases of patients with LC. Results：609 cases were completed LC surgery,four cases were converted to open surgery, surgery time 30-120 minutes, no bile duct injury.Conclusion：Strict preoperative evaluation, good attitude of the sur- geon, standardized surgical procedure, decisive and timely laparotomv is the key to prevention of bile duct injury.