Baillie John
Department of Medical Gastroenterology, Carteret General Hospital, Morehead City, NC 28557, USA.
Gastrointest Endosc Clin N Am. 2013 Apr;23(2):461-72. doi: 10.1016/j.giec.2013.01.002.
Laparoscopic cholecystectomy (LC) is complicated by bile duct injury in 0.3% to 0.6% of cases. These injuries range from simple leaks from the cystic duct stump that can almost always be managed by endoscopic stenting to complex strictures, transections, and even resections of the bile duct, often with concomitant vascular damage leading to ischemia. The management of LC-related biliary injuries requires a multidisciplinary approach involving an endoscopist experienced in the use of ERCP, a skilled interventional radiologist, and a surgeon with specific training in the management of hepatobiliary injuries.
腹腔镜胆囊切除术（LC）在0.3%至0.6%的病例中会并发胆管损伤。这些损伤范围从几乎总能通过内镜支架置入术处理的胆囊管残端简单渗漏到复杂的狭窄、横断，甚至胆管切除，常伴有导致缺血的血管损伤。处理与LC相关的胆管损伤需要多学科方法，包括一位熟练掌握内镜逆行胰胆管造影术（ERCP）的内镜医师、一位技术娴熟的介入放射科医生以及一位接受过肝胆损伤处理专门培训的外科医生。
