Ferguson C M, Rattner D W, Warshaw A L
Department of Surgery, Massachusetts General Hospital, Boston.
Surg Laparosc Endosc. 1992 Mar;2(1):1-7.
Bile duct injury is an unusual complication of laparoscopic cholecystectomy. Although the exact incidence is yet to be determined, it does appear to be more common than bile duct injury during open cholecystectomy. Previous publications have attempted to document the incidence of bile duct injuries and methods to prevent it. We reviewed our experience with 11 bile duct injuries from laparoscopic cholecystectomy. Such injuries were manifested by abdominal pain, low-grade fever, and hyperbilirubinemia or biliary fistula. These patients' injuries were treated by using drainage or reexploration and ligation of cystic duct and subcholecystic duct leaks and Roux-en-Y hepaticojejunostomy for common duct strictures and lacerations.
胆管损伤是腹腔镜胆囊切除术的一种罕见并发症。尽管确切发病率尚待确定，但它在腹腔镜胆囊切除术中似乎比开腹胆囊切除术时更为常见。既往有文献试图记录胆管损伤的发生率及预防方法。我们回顾了11例腹腔镜胆囊切除术胆管损伤的经验。此类损伤表现为腹痛、低热、高胆红素血症或胆瘘。这些患者的损伤通过引流、再次探查并结扎胆囊管及胆囊下胆管漏口，以及对胆总管狭窄和裂伤行Roux-en-Y肝空肠吻合术进行治疗。
