Ali Umar, Ma Zhen-Hua, Pan Cheng-En, Ma Qing-Yong
Department of Surgery, First Affiliated Hospital, School of Medicine, Xi'an Jiaotong University, Xi'an 710061, China.
Hepatobiliary Pancreat Dis Int. 2007 Jun;6(3):326-9.
Cholecystectomy is the most commonly performed procedure in general surgery. However, bile duct injury is a rare but still one of the most common complications. These injuries sometimes present variably after primary surgery. Timely detection and appropriate management decrease the morbidity and mortality of the operation.
Five cases of iatrogenic bile duct injury (IBDI) were managed at the Department of Surgery, First Affiliated Hospital, Xi'an Jiaotong University. All the cases who underwent both open and laparoscopic cholecystectomy had persistent injury to the biliary tract and were treated accordingly.
Recovery of the patients was uneventful. All patients were followed-up at the surgical outpatient department for six months to three years. So far the patients have shown good recovery.
In cases of IBDI it is necessary to perform the operation under the supervision of an experienced surgeon who is specialized in the repair of bile duct injuries, and it is also necessary to detect and treat the injury as soon as possible to obtain a satisfactory outcome.
胆囊切除术是普通外科最常施行的手术。然而，胆管损伤虽罕见但仍是最常见的并发症之一。这些损伤在初次手术后有时表现各异。及时发现并恰当处理可降低手术的发病率和死亡率。
西安交通大学第一附属医院外科处理了5例医源性胆管损伤（IBDI）。所有接受开腹和腹腔镜胆囊切除术的病例均存在持续性胆道损伤并得到相应治疗。
患者恢复顺利。所有患者在外科门诊随访6个月至3年。目前患者恢复良好。
对于医源性胆管损伤病例，有必要在经验丰富的专门从事胆管损伤修复的外科医生监督下进行手术，并且还必须尽快发现并处理损伤以获得满意的结果。
