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首页> 外文期刊>Diagnostic and therapeutic endoscopy >Biliary Complications Post Laparoscopic Cholecystectomy: Mechanism, Preventive Measures, and Approach to Management: A Review
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Biliary Complications Post Laparoscopic Cholecystectomy: Mechanism, Preventive Measures, and Approach to Management: A Review

机译：腹腔镜胆囊切除术后胆道并发症：机理，预防措施和管理方法：审查。

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摘要

Laparoscopic cholecystectomy has emerged as a gold standard therapeutic option for the management of symptomatic cholelithiasis. However, adaptation of LC is associated with increased risk of complications, particularly bile duct injury ranging from 0.3 to 0.6%. Occurrence of BDI results in difficult reconstruction, prolonged hospitalization, and high risk of long-term complications. Therefore, more emphasis is placed on preventing these complications. In addition to adequate training, several techniques have been proposed to prevent bile duct injury including use of 30∘scope, adequate delineation of structures in Calot's triangle (critical view), avoidance of diathermy close to common hepatic duct, and intraoperative cholangiogram, and to maintain a low threshold to conversion to open approach when uncertain. Management of Bile duct injury depends on the nature of injury, time of detection, and the expertise available, and would range from simple subhepatic drainage to Roux-en-Y hepaticojejunostomy particularly performed at specialised centers. This article based on the literature review aims to review the biliary complications following laparoscopic cholecystectomy with reference to its mechanism , preventive measures to be taken, and the management approach.
机译：腹腔镜胆囊切除术已成为治疗有症状胆石症的金标准治疗选择。然而，LC的适应与并发症风险增加有关，特别是胆管损伤的风险范围为0.3％至0.6％。 BDI的发生导致重建困难，住院时间延长以及长期并发症的高风险。因此，将更多的重点放在预防这些并发症上。除了适当的训练外，还提出了多种预防胆管损伤的技术，包括使用30°显微镜，在Calot三角形中充分描绘结构（临界视图），避免在肝总管附近进行透热，术中胆道造影以及不确定时，应保持较低的转换为开放方式的门槛。胆管损伤的治疗取决于损伤的性质，检测时间和可用的专业知识，范围从简单的肝下引流到特别在专门中心进行的Roux-en-Y肝空肠造口术。本文以文献综述为基础，旨在回顾腹腔镜胆囊切除术后胆道并发症的发生机理，预防措施和治疗方法。

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