west china medical publishers

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west china medical publishers

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腹腔鏡膽囊切除術后膽管損傷延遲發現3例分析

West China Medical Journal 2009, 24(3): 721-722

目的：探討腹腔鏡膽囊切除術后延遲發現膽管損傷的特點、原因以及預防、治療措施。方法:對我院2003 年1 月～2007 年10 月收治的3例腹腔鏡膽囊切除術后延遲發現膽管損傷患者的臨床資料進行回顧性分析。結果:3例延遲發現膽管損傷是以緩慢出現并加重的黃疸為特點,膽管空腸Roux-en-Y吻合術后恢復良好。結論:膽汁滲漏、局部組織增生、壓迫所致膽道梗阻為腹腔鏡膽囊切除術后膽管損傷延遲發現的可能原因,需采取多種措施加以預防,膽管空腸Roux-en-Y吻合為有效治療措施。

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