Laparoscopic cholecystectomy experience of the main bile duct injury in time.docVIP

 PAGE \* MERGEFORMAT 10 Laparoscopic cholecystectomy experience of the main bile duct injury in time Study: Money Changchun, Lijun Cheng Shaohua Wei, Li Wei, Wu Haorong [Abstract] Objective laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) timely processing of intraoperative bile duct injury. Methods Retrospective analysis of 18 cases of surgery in the timely processing of the main bile duct injury in LC. All patients are therefore correspondingly surgical treatment. 12 cases transection of common bile duct, bile duct anastomosis; four cases of hepatic duct and left hepatic duct transection with defects, 2 cases of bile duct forming anastomosis, 2 cases of bile duct jejunum Roux-en-Y anastomosis; two cases of right hepatic duct injury Routine bile duct end to side anastomosis, a routine biliary-enteric Roux-en-Y anastomosis, are placed T tube drainage support. Results were cured, were followed up 1 to 6 years, no bile duct stenosis, the effect is satisfactory. Conclusion LC timely detection of bile duct injury during operation, the timely processing and effective. bile duct anastomosis is the treatment of bile duct injury surgery to discover the best method. [Keywords:] laparoscopic cholecystectomy; bile duct injury; surgical treatment June 2003-June 2008 we have treated patients in the main bile duct injury in LC 18 patients. Now reviewed the results of their analysis is as follows. 1 Materials and Methods 1.1 General Information The group of 18 patients with LC main bile duct injury, including 6 males and 12 females, aged 22 to 64 years old, average 44.3 years old. Gallstones in chronic cholecystitis and gallbladder polyps in 14 cases; 1 case of acute cholecystitis; 1 case of chronic atrophic cholecystitis; biliary anatomical variations in 2 cases. refer [1] classification of bile duct injury: type 12 cases, 4 cases, type 2 cases. 1.2 Diagnosis of 18 cases were the main bile duct injury in time, mainly for intraoperative