CAJ | 학술논문

胆管损伤是腹腔镜胆囊切除术的严重并发症之一.腹腔镜胆囊切除术所致胆管损伤的分型、诊断、治疗尚有存在争议之处.胆管损伤的分型最适用的有Strasberg-Bismuth分型和较完善的中华医学会外科学分会胆道外科学组提出的3型4类.虽然腹腔镜胆囊切除术所致胆管损伤术中诊断率低,但术后临床表现及辅助检查常有助于诊断.而准确的分型和及时诊断有助于制定个体化方案.本文现就腹腔镜胆囊切除术所致胆管损伤的诊疗进展作一综述.
담관손상시복강경담낭절제술적엄중병발증지일.복강경담낭절제술소치담관손상적분형、진단、치료상유존재쟁의지처.담관손상적분형최괄용적유Strasberg-Bismuth분형화교완선적중화의학회외과학분회담도외과학조제출적3형4류.수연복강경담낭절제술소치담관손상술중진단솔저,단술후림상표현급보조검사상유조우진단.이준학적분형화급시진단유조우제정개체화방안.본문현취복강경담낭절제술소치담관손상적진료진전작일종술.
Bile dut injury (BDI) is one of the severe complications of laparoscopic cholecystectomy (LC).The classification,diagnosis and treatment of the BDI caused by LC are partly controversial.The most efficient classification of the BDI is Strasberg-Bismuth's classification and the "three modes and four classes" developed by the Biliary Surgery Group of Surgery Branch of Chinese Medical Association.Although the success rate of intraoperative diagnosis for the BDI is very low,in most cases,the BDI is diagnosed by clinical manifestations and assistant examinations.Accurate classification and early diagnosis could help us to make a specific one for each patient according to certain situation.In this review,we focus on the classification,diagnosis and treatment of the BDI caused by LC.