胆道损伤__培训课件.pptVIP

腹腔镜胆囊切除术胆道损伤的预防和处理 一、背景 腹腔镜胆囊切除（Laporoscopic cholecystectomy,LC） 金标准-普及化-基层化 发病率 胆道损伤（bile duct injury，BDI）是腹腔镜胆囊切除术（LC）常见的严重并发症之一 LC---0%～3%vs OC--- 0%～0.2% 一般认为LC所致BDI的发生率为0.5%～1%，远远高于文献报道，并且多年来维持于此水平，并无明显下降 二、LC术中引起BDI的危险因素 危险的解剖、危险的病理、危险的手术 --黄志强 three tragic surgical errors. 1) a failure to possess sufficient knowledge of normal anatomy and function 2) a failure to recognize anatomic variants when they present 3) a failure to ask for help when uncertain or unsure. All but the last of these errors are remediable with study and effort.