【摘要】目的 探讨腹腔镜胆囊切除术胆漏的预防措施。方法 回顾性分析我院 625例腹腔镜胆囊切除术并发胆漏8例的原因。结果 手术经验不足、 误认和靠近肝外胆管锐性分离是损伤肝外胆管和副肝管的主要原因； 胆囊管和胆囊床处理欠妥是残端漏和渗漏的重要因素。结论 遵循手术规范化原则， 紧靠胆囊钝性分开Calot三角， 辨认 清“三管一壶腹”的关系， 正确处理胆囊管和胆囊床是预防胆漏的关键。

    【关键词】腹腔镜胆囊切除术 胆漏 并发症

    中图分类号：R657.4 文献标识码：A 文章编号：1005-0515(2011)4-031-02

    【Abstract】Objective laparoscopic cholecystectomy bile leakage prevention. Methods Retrospective analysis of our hospital 625 cases of laparoscopic cholecystectomy in 8 cases of biliary leakage reasons. Results surgical inexperience, mistaken, and close to the sharp separation of extrahepatic bile duct is extrahepatic bile duct injury and the main hepatic duct; cystic duct and the gallbladder bed mishandling stump leakage and seepage is an important factor. Conclusion followed standardized operation principle of separation of Calot triangle next to the gallbladder blunt, identify clear "three one ampulla" relationship, properly handle the cystic duct and the gallbladder bed is the key to prevention of bile leakage. ......