Title: The preventive and therapeutic strategy of bile duct injury in laparoscopic cholecystectomy
Abstract: Objective To explore the preventive and therapeutic strategy of bile duct injury caused by laparoscopic cholecystectomy(LC).Methods We retrospectively analyzed 12 cases of bile duct injury in 1033 cases of laparoscopic cholecystectomy performed.Results According to Strasberg classification,10 cases with diameter=3mm were cured by sewing up the wound of bile duct and placing T type tube to drain bile,while the other two cases were cured by cholangioplasty and cholangiojejunum Roux-en-Y anastomosis.Through 6 months to 1 years follow-up,no such complications as bile duct stricture or lithiasis were found.Conclusion The primary reason is lack of understanding of the anatomy variety and pathological change,as well as responsibility and experience or skill of the operaters.The bile duct injurycaused by LC should be found and tackled in time in order to achieve satisfactory prognosis.
Publication Year: 2011
Publication Date: 2011-01-01
Language: en
Type: article
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