胆囊炎行腹腔镜胆囊切除术中胆道损伤的防治

Prevention and Treatment of Bile Duct Injury in Laparoscopic Cholecystectomy for Cholecystitis

目的探讨对胆囊炎患者实施腹腔镜胆囊切除术治疗的效果及对术中胆道损伤的防治策略。方法选取2016年3月—2019年12月收治的80例胆囊炎患者作为研究对象,对所有的患者均实施腹腔镜胆囊切除术治疗,对手术治疗效果、术中胆道损伤发生及防治策略进行分析。结果所有患者的手术均顺利实施,在术中发生6例胆道损伤,对这6例患者均采取放置T管及腹腔内橡皮引流的方式进行干预,结果显示患者的干预效果均满意,虽然1年未出现胆道狭窄情况。结论对胆囊炎,行腹腔镜手术治疗过程需要相关医师了解胆道解剖结构,对出现胆道损伤情况需及时的进行处理,以将胆道损伤引起的伤害降至最小程度。

Objective To investigate the effect of laparoscopic cholecystectomy on patients with cholecystitis and the prevention and treatment strategies for intraoperative bile duct injury.Methods 80 patients with cholecystitis admitted from March 2016 to December 2019 were selected as the research objects.All patients were treated with laparoscopic cholecystectomy.The effect of surgical treatment,the occurrence of intraoperative biliary tract injury and the prevention and treatment strategies were carried out.Results The operation of all patients was carried out smoothly,and 6 cases of biliary tract injury occurred during the operation.T-tube placement and intra-abdominal rubber drainage were used to intervene in these 6 patients.The results showed that the intervention effects of the patients were satisfactory,although no biliary stricture occurred in a year.Conclusion For cholecystitis,the process of laparoscopic surgery requires relevant physicians to understand the anatomy of the biliary tract,and timely treatment of biliary tract damage is required to minimize the damage caused by biliary tract damage.