Laparoscopic cholecystectomy in the prevention and treatment of bile duct injury.docVIP

 PAGE \* MERGEFORMAT 11 Laparoscopic cholecystectomy in the prevention and treatment of bile duct injury Author: Yellow River, Jiang Xiao-Mao shore-rong, Zhu Hao, Cui Xiaohong, Xu Buqing, Hu Jianping, Chen Libing [Abstract] Objective To evaluate the laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC)-induced bile duct injury causes, preventive measures and treatment. Methods 7 patients with LC caused by cases of bile duct injury were analyzed retrospectively. Results 7 cases of bile duct injury cases, intraoperative common bile duct occlusion errors titanium clip 1 case; three cases of Mirizzi syndrome caused by common bile duct injury; right hepatic duct injury in 2 cases, of which 1 case was due to variations caused by the cystic duct; 1 cases severe adhesion due to gallbladder neck, separating the liver in breaking the door from the left hepatic duct and right hepatic duct injury. All patients underwent repair or end to end anastomosis of common bile duct, T-tube drainage success. Conclusion LC-induced bile duct injury should arouse enough attention. Found to be not timely or improper handling can cause serious complications. Surgeon experience, local adhesion of serious bile duct injury and biliary variation is the main reason. Repair of common bile duct can be used forming, end to end anastomosis or bile duct jejunum Roux  en  Y anastomosis of bile duct injury. [Keywords:] bile duct injury; cholecystectomy; laparoscopic Abstract: Objective To discuss the cause of bile duct injuries caused by laparoscopic cholecystectomy (LC) and their prevention and treatment. Methods Review was done on seven patients of bile duct injury because of LC. Results In the 7 cases, bile duct injuries resulted from mistakenly clamping of common bile duct with titanium clamp in 1 case, Mirizzi syndrome in 3 cases, right liver duct injury in 2 cases, gallbladder duct aberrance in 1 cases, and gallbladder neck’s sever conglutination 1 case (right and left liver d