"安全辨认结构"预防腹腔镜胆囊切除术中胆道错认损伤研究
Chinese Journal of Hepatobiliary Surgery（2009）
Abstract
腹腔镜胆囊切除术现已成为治疗胆囊良性疾病的"金标准",尽管随着技术的成熟,胆管损伤的发生率已有下降,但至今仍是尚未解决的外科问题,在美国,胆管损伤在消化外科中是引起法律诉讼的最常见原因[1].目前文献报道胆管损伤发生率为0.5%～0.72%[2,3],其中"胆道错认损伤"是导致严重胆管损伤的重要原因.笔者在腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中应用"安全辨认结构"法解剖胆囊三角,连续施行LC 1526例未发生一例胆道错认损伤,现报告如下.
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Key words
laparoscopic cholecystectomy,bile duct injury,safe-determination
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