【摘要】 目的 分析腹腔镜胆囊切除术后胆漏及胆管损伤的原因、治疗方法及预后。 方法 总结2000年1月～2004年12月17例腹腔镜术后胆漏及胆管损伤的患者，行回顾性分析。 结果 17例患者中3例迷走胆管漏经剖腹缝扎胆囊床，腹腔引流后治愈;胆囊管残端漏3例，3例均再次手术结扎治愈;胆总管损伤漏6例，肝总管损伤漏2例，右肝管损伤漏1例，剖腹手术修补漏口，放置T型管支撑4～6个月;胆总管横断2例剖腹行胆总管端端吻合放置T管支撑6个月。术后随访1～3年，15例恢复良好，2例反复出现胆管炎，经行胆管空肠Roux-en-Y吻合治愈。 结论 腹腔镜胆囊切除术后的胆漏及胆管损伤，应及时发现，正确处理。

    关键词 腹腔镜 胆囊切除术 胆漏 胆管损伤

    Analysis of17cases of bile leakage and bile duct injury in laparoscopic cholecystectomy

    Xie Zhaohui，Li Yong

    The First Peoples Hospital of Jiangbei District，Chongqing400020.

    【Abstract】 Objective To analyze the cause of bile leakage and bile duct injury of laparoscopic cholecystecto-my，and to discuss its treatment methods and prognosis.Methods 17cases of bile leakage and bile duct injury of la-paroscopy cholecystectomy between Jan.2000and Dec.2004retrospectively analyzed.Results In17cases，the mini-bile duct leakage were3.All those group were cured by sewing up the gallbiadder-bed and the belly cavity drainaged.The cystic duct leakage were2cases，those3cases were sewed up the leak of the cystic duct and the belly cavity drainaged.The choledoch leakage were6cases ......