Ahmad Jawad, McElvanna Kevin, McKie Lloyd, Taylor Mark, Diamond Tom
Department of Hepatobiliary Surgery, Mater Infirmorum Hospital, 47-51 Crumlin Road, Belfast BT14 6AB.
Ulster Med J. 2012 May;81(2):79-82.
Bile duct injury is a rare complication of cholecystectomy. The aims of this study were to analyse the mechanism and outcome of biliary complications and determine the Northern Ireland incidence of bile duct injury over the last decade.
Annual numbers of cholecystectomies were obtained from the Northern Ireland Hospital Inpatient System database. Bile duct injury referrals to a hepatobililary unit over an 11-year period from 2000 were reviewed. Mechanism and recognition of injury, referral interval, management and outcome were analysed.
The annual incidence of laparoscopic cholecystectomy in Northern Ireland increased from 0.038% in 1995 to 0.101% in 2009. Thirty-five patients with biliary complications from cholecystectomy were referred from 2000. The incidence of bile duct injury associated with laparoscopic cholecystectomy during this period was 0.2%. Only 26% of injuries were recognised intra-operatively, only 40% were referred immediately and 91% required operative intervention.
The incidence of laparoscopic cholecystectomy has increased in Northern Ireland. The incidence of bile duct injuries over the last 11 years was 0.2%. Recognition and referral were delayed in most cases. The majority of injuries required operative management and long-term follow-up.
胆管损伤是胆囊切除术罕见的并发症。本研究旨在分析胆道并发症的机制和结果，并确定北爱尔兰过去十年胆管损伤的发生率。
从北爱尔兰医院住院系统数据库获取每年胆囊切除术的数量。回顾了2000年起11年间转诊至肝胆科的胆管损伤病例。分析损伤的机制、识别情况、转诊间隔、治疗及结果。
北爱尔兰腹腔镜胆囊切除术的年发生率从1995年的0.038%增至2009年的0.101%。2000年起有35例胆囊切除术后胆道并发症患者转诊。在此期间，腹腔镜胆囊切除术相关胆管损伤的发生率为0.2%。术中仅识别出26%的损伤，仅40%的患者立即转诊，91%的患者需要手术干预。
北爱尔兰腹腔镜胆囊切除术的发生率有所上升。过去11年胆管损伤的发生率为0.2%。大多数病例的识别和转诊均延迟。大多数损伤需要手术治疗及长期随访。
