Choi Yoo-Shin, Han Ho-Seong, Yoon Yoo-Seok, Lee Taek-Gu, Jang Jin-Young, Kim Sun-Whe, Park Yong-Hyun
Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
J Laparoendosc Adv Surg Tech A. 2006 Jun;16(3):264-6. doi: 10.1089/lap.2006.16.264.
Bile duct injury is one of the serious complications associated with laparoscopic cholecystectomy. If the bile duct injury is circumferential or the bile duct is transected, conversion to open surgery is usually done. With the continuing development of laparoscopic techniques, procedures that previously seemed implausible can now be performed laparoscopically. We describe a case of successful laparoscopic end-to-end choledochocholedochostomy after the common bile duct was mistaken for the cystic duct intraoperatively and transected.
胆管损伤是腹腔镜胆囊切除术相关的严重并发症之一。如果胆管损伤是环形的或胆管被横断，通常会转为开腹手术。随着腹腔镜技术的不断发展，以前看似不可行的手术现在可以通过腹腔镜进行。我们描述了一例术中将胆总管误认成胆囊管并横断后成功进行腹腔镜胆总管端端吻合术的病例。
