CAJ | 학술논문

血管损伤是与腹腔镜胆囊切除胆管损伤相关的严重并发症,其发生率为6.7%～61.1%.损伤最多的是肝右动脉.血管损伤后不一定有症状,但严重者近期表现为肝缺血、坏死,远期可导致胆管狭窄、肝萎缩等.有的患者血管损伤后需行肝切除甚至肝移植治疗,因此对早期发现的血管损伤,必要时应做血管重建.
혈관손상시여복강경담낭절제담관손상상관적엄중병발증,기발생솔위6.7%～61.1%.손상최다적시간우동맥.혈관손상후불일정유증상,단엄중자근기표현위간결혈、배사,원기가도치담관협착、간위축등.유적환자혈관손상후수행간절제심지간이식치료,인차대조기발현적혈관손상,필요시응주혈관중건.
Vascular injury is a severe complication when combined with biliary injuries in laparoscopic cholecystectomy. The most frequent injury is damage to the right branch of the hepatic artery. The incidence ranges between 6. 7% and 61.1%. When bile duct transection is combined with vascular injury, the clinical course is complicated by liver ischaemia or necrosis, biliary stricture, and liver lobar atrophy which sometimes necessitating liver resection or even transplantation. Reconstruction of vascular injury is helpful when the injury is identified early.