Diagnosis and Treatment of Bile Duct Injury of Luschka_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

杨新平 ¹ , 黄卫民 ² , 金荣 ² , 朱上林 ² , 姜洪池 ³

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Keywords：

胆囊切除术; 胆囊肝管; 损伤

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目的探讨胆囊切除术时Luschka胆管损伤的诊断及处理。
方法回顾性分析2 039例胆囊切除术中26例Luschka胆管损伤的情况。
结果 26例中15例于术中发现胆漏点，行缝扎止漏成功，5例行缝扎失败者和3例未找到胆漏点者，经引流后痊愈。术后发现3例，其中1例经鼻胆管引流治愈； 1例经再手术引流治愈； 1例再手术后发生心肌梗塞死亡。
结论胆囊切除术时Luschka胆管损伤较难避免，术中发现并及时治疗效果最好；术后发现应及时行剖腹探查和充分引流。

Citation： 杨新平,黄卫民,金荣,朱上林,姜洪池. Diagnosis and Treatment of Bile Duct Injury of Luschka. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2004, 11(2): 166-168. doi: Copy

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1. McQuillan T, Manolas SG, Hayman JA, et al. Surgical significance of the bile duct of Luschka [Ｊ]. Br J Surg, 1989; 76(7)∶696.
2. Champetier J, Létoublon C, Alnaasan I, et al. The cystohepatic ducts: surgical implications [Ｊ]. Surg Radiol Anat, 1991； 13(3)∶203.
3. 舒晔, 周总光, 解蓉, 等. 腹腔镜胆囊切除术细小胆管损伤的诊断与处理 [Ｊ]. 中国普外基础与临床杂志, 2001； 8(2)∶88.
4. Albishri SH, Issa S, Kneteman NM, et al. Bile leak from duct of Luschka after liver transplantation [Ｊ]. Transplantation, 2001; 72(2)∶338.
5. McMahon AJ, Fullarton G, Baxter JN, et al. Bile duct injury and bile leakage in laparoscopic cholecystectomy [Ｊ]. Br J Surg, 1995; 82(3)∶307.
6. Saraswat VA, Choudhuri G, Sharma BC, et al. Endoscopic management of postoperative bile leak [Ｊ]. J Gastroenterol Hepatol, 1996; 11(2)∶148.
7. Azagra JS, De Simone P, Goergen M. Is there a place for laparoscopy in management of postcholecystectomy biliary injuries? [Ｊ]. World J Surg, 2001; 25(10)∶1331.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Bile Duct Injury of Luschka

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