中图分类号：R657.4

    文献标识码： A

    文章编号： 1672-3783(2008)-7-0001-02

    【摘 要】目的 探讨腹腔镜胆囊切除术胆管损伤的原因和预防措施。方法 对我院从1998年1月～2005年8月的腹腔镜胆囊切除术中胆管损伤病例进行综合分析。结果 1900例腹腔镜胆囊切除术中胆管损伤15例(0.7%)，其中胆总管横断伤8例，胆总管不完全横断伤2例，肝、胆总管横断伤并组织缺损2例，右副肝管横断伤2例，肝、胆总管机械性裂伤1例。术中发现12例，术后诊断3例。胆管横断伤处理以直接修补、T管引流为主，半年后胆肠Koux—Y吻合，或一期胆总管空肠KoUX—Y吻合术。结论 重视预防和提高手术技能，能降低腹腔镜胆囊切除术中胆管损伤的发生率。

    【关键词】腹腔镜胆囊切除术 胆管损伤 预防

    Clinical Analysis of15 CaseswithBile Duct Injuries

    inLaparoscopic Cholecystectomy

    TENG Hua-an

    The Third People’s Hospital of Yibin, Yibin,644000 Sichuan ,China

    【Abstrac】Objective To investigate the aetiology and prevention of bile duct injuries in laparoseopic Cholecystectomy.Methods A total of 1900 cases underwent laparoscopic cholecystectomy(LC)from Januaryofto August of 2005 were reviewed and analyzed retrospectively.Result Of the 1900 procedures performed ......