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中华肝脏外科手术学电子杂志 ›› 2022, Vol. 11 ›› Issue (04): 338 -341. doi: 10.3877/cma.j.issn.2095-3232.2022.04.003

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腹腔镜胆囊切除术致胆管损伤处理方式选择
汪学艳1, 马延龄1, 李海元1, 王云鹏1, 向琳1, 董家鸿2, 陈昊3,()   
  1. 1. 730030 兰州大学第二临床医学院
    2. 100218 北京,清华大学附属清华长庚医院肝胆胰中心
    3. 730030 兰州大学第二医院肿瘤外科 兰州大学第二医院消化系统肿瘤重点实验室
  • 收稿日期:2022-03-16 出版日期:2022-08-10
  • 通信作者: 陈昊
  • 基金资助:
    国家自然科学基金(82160129); 甘肃省重点人才项目(2019RCXM020); 甘肃省科技重大专项(19ZD2WA001); 兰州市城关区科技计划项目(2019RCCX0034,2020JSCX0073,2020SHFZ0039); 兰州大学第二医"萃英科技创新"计划项目(CY2017-ZD01)

Choice of treatments for bile duct injury caused by laparoscopic cholecystectomy

Xueyan Wang1, Yanlin Ma1, Haiyuan Li1   

  • Received:2022-03-16 Published:2022-08-10

自1905年Mayo等首次报道使用胆管-十二指肠吻合术修复2例胆囊切除术后胆管损伤(bile duct injury,BDI)后,BDI引起了胆道外科医师的重视[1]。随着微创技术的不断进步,目前已可应用单切口腹腔镜胆囊切除术(LC)和机器人胆囊切除术来修复BDI,但BDI的高发生率仍不可避免,仍有0.4%~0.6%的BDI发生于LC后[1,2]。BDI最佳修复方案应基于患者既往胆道修复手术史、肝脏损害程度及一般情况进行分析,并根据BDI分型系统确定损伤分型、部位、程度和胆道梗阻持续时间进而作出选择。任何类型的修复重建手术最终目的都是恢复胆管的完整性及其连续性,无论采取何种术式进行修复,修复重建的胆管应是无瘢痕、无炎症、血供良好的健康胆管[1,2]

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