Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy -
Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.
Minerva Surg. 2023 Dec;78(6):684-691. doi: 10.23736/S2724-5691.23.09942-2. Epub 2023 Jul 24.
In Italy, about 100,000 cholecystectomies are carried out annually, the majority of them laparoscopically. Complications following cholecystectomy are common and increase morbidity and cost burden. Biliary damage (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%) are a few of the most often occurring laparoscopic cholecystectomy consequences. In many instances, endoscopy can offer conclusive management and is crucial for the identification and treatment of biliary problems. Regarding the ideal treatment strategy for biliary problems, there is no universal agreement. A skilled interdisciplinary team should therefore approach biliary problems. The surgeon must be knowledgeable on how to handle these issues.
在意大利，每年大约进行 10 万例胆囊切除术，其中大多数为腹腔镜手术。胆囊切除术后的并发症很常见，会增加发病率和费用负担。胆道损伤（0.08-0.5%）、胆漏（0.42-1.1%）、胆总管残余结石（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%）是最常见的腹腔镜胆囊切除术后并发症之一。在许多情况下，内镜检查可以提供明确的治疗方法，对于识别和治疗胆道问题至关重要。关于胆道问题的理想治疗策略，目前尚无共识。因此，应由熟练的跨学科团队处理胆道问题。外科医生必须了解如何处理这些问题。
