摘要
探讨腹腔镜胆囊切除术中副肝管损伤的预防和处理.回顾性分析8例腹腔镜胆囊切除术（LC）术中、术后发现合并副肝管损伤患者的临床资料.4例Ⅰ型副肝管损伤患者中,3例术中发现并处理,1例术后再次行腹腔镜处理;Ⅱ、Ⅲ、Ⅳ型副肝管损伤共4例,术中发现后分别处理.提示为防止腹腔镜胆囊切除术中损伤副肝管,应熟悉副肝管各种类型,警惕副肝管“二次损伤”.损伤的副肝管直径＜2 mm可直接夹闭,直径≥3 mm的副肝管损伤,须进行有效引流.
To explore the prevention and management of accessory hepatic duct （AHD） injury during laparoscopic cholecystectomy （LC）.Four cases of type Ⅰ AHDs were found in our series.In three cases,the injured ADHs were clipped by Hemolock during LC while another case was sutured during laparoscopic re-operation.Four cases of type Ⅱ,Ⅲ,Ⅳ AHDs injury were found and treated by different intraoperative methods.Conclusion for preventing AHD injury during LC,anatomic identification is essential for surgeons.A small AHD （〈2 mm） injury may be treated by clipping or suturing while a large AHD （〉 3 mm） injury requires an effective drainage.
出处
《中华全科医师杂志》
2014年第11期940-941,共2页
Chinese Journal of General Practitioners
关键词
胆囊切除术
腹腔镜
副肝管损伤
Cholecystectomy,laparoscopic
Injury of accessory bile duct
