腹腔镜手术医源性胆道损伤的防治

腹腔镜技术的应用减少了患者的手术创伤并加快了术后康复,但胆道损伤的发生率也较开腹手术明显增加。胆道损伤一旦发生,给患者带来的近远期不良后果十分严重。因此,胆道损伤的预防和及时正确的诊治非常重要。结合国内外文献,对腹腔镜下胆道损伤的常见原因和机制、诊断和治疗的进展进行阐述,使青年医生对胆道损伤有更深入的了解,以指导临床实践。...

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Bibliographic Details
Published in临床肝胆病杂志 Vol. 31; no. 10; pp. 1608 - 1611
Main Author 李巍 刘红宇 关连越
Format Journal Article
LanguageChinese
Published 吉林大学中日联谊医院肝胆胰外科,长春,130030 2015
Subjects
手术中并发症
手术后并发病
胆道疾病
腹腔镜检查
laparoscopy
intraoperative complications
胆道疾病
biliary tract diseases
手术后并发病
postoperative complications
手术中并发症
腹腔镜检查
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2015.10.011

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Summary:腹腔镜技术的应用减少了患者的手术创伤并加快了术后康复,但胆道损伤的发生率也较开腹手术明显增加。胆道损伤一旦发生,给患者带来的近远期不良后果十分严重。因此,胆道损伤的预防和及时正确的诊治非常重要。结合国内外文献,对腹腔镜下胆道损伤的常见原因和机制、诊断和治疗的进展进行阐述,使青年医生对胆道损伤有更深入的了解,以指导临床实践。
Bibliography:The incidence of iatrogenic bile duct injuries has been increased along with the application of laparoscopic surgery,although surgical lesions have been reduced and postoperative recovery has been accelerated. Once bile duct injury occurs,the short- term and long-term adverse effects are very severe. Therefore,the prevention and timely diagnosis and treatment of bile duct injuries are critical. In order to better understanding iatrogenic bile duct injuries and guiding the clinical practices for young surgeons,this paper provides the updated information on common causes,mechanisms,diagnosis,and treatment of iatrogenic bile duct injuries through review of domestic and international literature.
biliary tract diseases; laparoscopy; intraoperative complications; postoperative complications
L1 Wei, LIU Hongyu, GUAN Lianyue. （Department of Hepatobiliary -Pancreatic Surgery, China -Japan Union Hospital of Jilin University, Changchun 130030, China）
22-1108/R
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2015.10.011