Prevention And Treatment Of Bile Duct Injuries In Laparoscopic Cholecystectomy

Objective：To explore the cause of bile duct injury caused by laparoscopiccholecystectomy(LC)and their prevention and treatment．Methods: A retrospective analysis in June2001-December2013I branch of21cases of bile duct injury in laparoscopic cholecystectomy, A type of injury (vagus bileduct leakage)9cases; Type D () of extrahepatic bile duct wall in5cases, includingcommon bile duct leakage (3cases), hepatic duct leakage in2cases; E injury in7cases,of which the E1(from more than2cm of the common bile duct ring injuries ofconvergence)4cases, E2type (less than2cm) away from convergence of injury in1case, E3type (bravery manager ring injuries of convergence) in1case, E4type (righthepatic duct ring injury) in1case.Results:7cases diagnosed as vagus biliary leakage is through the drainage tubedrainage after fully cured,2cases of intraoperative not placed drainage tube suture line2surgeries laparotomy gallbladder bed and placed drainage cure;5cases of reoperationline leak and cure suture and T tube drainage; Line intraoperative bile leakage,3casesof bile duct jejunum-Roux en-y anastomosis and T tube drainage of cure;4cases ofpostoperative ERCP confirmed bile leakage and bile duct reoperation line-jejunum-Roux en-y anastomosis and T tube drainage of cure. Above all the operations, T tube is placed at least3months.Conclusion：The key to reduce the BDI in LC is to prevent in advance.Theoperator of LC should be experienced,grasp the anatomy of bile duce and have the ideaof transferring to normal operation promprly.The bile duct injury caused by LC shouldbe found and tackled in time in order to achieve satisfactory prognosis.