Division of Gastroenterology, University of Tennessee Health Science Center, Memphis, Tennessee, USA.
Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.
Am J Gastroenterol. 2020 Aug;115(8):1191-1198. doi: 10.14309/ajg.0000000000000704.
Every year approximately 750,000 cholecystectomies are performed in the United States, most of those are performed laparoscopically. Postcholecystectomy complications are not uncommon and lead to increased morbidity and financial burden. Some of the most commonly encountered complications with laparoscopic cholecystectomy include biliary injury (0.08%-0.5%), bile leak (0.42%-1.1%), retained common bile duct stones (0.8%-5.7%), postcholecystectomy syndrome (10%-15%), and postcholecystectomy diarrhea (5%-12%). Endoscopy has an important role in the diagnosis and management of biliary complications and in many cases can provide definitive management. There is no consensus on the best therapeutic approach for biliary complications. Therefore, biliary complications should be approached by an experienced multidisciplinary team. It is important for the gastroenterologist to be familiar with the management of such complications (Visual Abstract, Supplemental Digital content 1, http://links.lww.com/AJG/B544).
每年在美国大约有 750,000 例胆囊切除术，其中大多数是腹腔镜下进行的。胆囊切除术后并发症并不少见，导致发病率和经济负担增加。腹腔镜胆囊切除术最常见的并发症包括胆管损伤（0.08%-0.5%）、胆漏（0.42%-1.1%）、残余胆总管结石（0.8%-5.7%）、胆囊切除术后综合征（10%-15%）和胆囊切除术后腹泻（5%-12%）。内镜在胆道并发症的诊断和处理中具有重要作用，在许多情况下可以提供明确的治疗。对于胆道并发症的最佳治疗方法尚未达成共识。因此，胆道并发症应由经验丰富的多学科团队处理。胃肠病学家熟悉此类并发症的处理非常重要（可视摘要，补充数字内容 1，http://links.lww.com/AJG/B544）。
