Eriguchi N, Aoyagi S, Hara M, Yoshida K
Department of Surgery, Kurume University School of Medicine, Japan.
Kurume Med J. 1998;45(1):143-5. doi: 10.2739/kurumemedj.45.143.
Laparoscopic cholecystectomy is widely accepted by patients and physicians despite the lack of controlled trials comparing this technology with conventional cholecystectomy. The cystohepatic ducts represent accessory bile ducts of variable size which frequently travel within the gallbladder fossa or in the posterior wall of the gallbladder. These ducts can be injured during laparoscopic cholecystectomy and can result in bile collection if transected. Recently, we have experienced two cases of injury to the bile duct during operation. One case was a transection of the accessory bile duct, the other one was an injury to the common hepatic duct. We present herein the clinical course of the two cases, in which biliary leakage, following laparoscopic cholecystectomy, was successfully managed by the end to end anastomosis of the bile duct.
尽管缺乏将该技术与传统胆囊切除术进行对比的对照试验，但腹腔镜胆囊切除术已被患者和医生广泛接受。胆囊肝管是大小不一的副胆管，常走行于胆囊窝内或胆囊后壁。这些胆管在腹腔镜胆囊切除术期间可能受损，若被横断可导致胆汁积聚。最近，我们在手术中遇到了两例胆管损伤病例。一例是副胆管横断，另一例是肝总管损伤。我们在此介绍这两例的临床过程，其中腹腔镜胆囊切除术后的胆漏通过胆管端端吻合术成功得到处理。
