Abstract
目的 探讨高位胆管损伤的原因、类型和处理方法.方法 回顾性总结分析了1998-2005年间对38例胆管损伤的诊治过程,其中腹腔镜胆囊切除术(LC)术中损伤24例,开腹胆囊切除术(OC)术中胆管损伤14例;高位胆管损伤21例.结果 所有胆管损伤病人均行手术治疗,分别行胆管对端吻合、胆管修补、肝管空肠吻合及胆管空肠吻合术.结论 LC手术发生胆管损伤多为高位胆管损伤,以行肝胆管空肠吻合术作为主要治疗手段,胆管损伤经手术修复后仍有一定术后并发症发生率。
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