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Diagnosis and Treatment of Bile Duct Injury of Luschka
Author(s): 
Pages: 166-168
Year: Issue:  2
Journal: CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Keyword:  胆囊切除术胆囊肝管损伤;
Abstract: 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.
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