肝外胆管正常只不过一条长约10cm，外径不足1cm的胆汁转输通道。其位置深在，位于肝脏、十二指肠等组织器官之后。因此，在腹部外伤中，单纯肝外胆管损伤少见，多并发于肝、十二指肠的损伤。在处理肝、十二指肠损伤时，应警惕肝外胆管损伤的存在，并予以仔细的探查，以免遗漏。
结论医源性肝外胆管损伤是胆囊切除手术的一种常见并发症。
Conclusion Iatrogenic biliary tract injury is a common complication of cholecystectomy.
目的探讨腹腔镜胆囊切除术 （LC）中非肝外胆管损伤性胆漏的预防及术后的治疗。
Objective\ To study prophylaxi and treatment of bile leaking caused by no-extrahepatic bile duct injury in laparoscopic cholecystectomy(LC).
方法综合国内4家医院收治的182例医源性肝外胆管损伤的临床资料，进行回顾性分析。
Methods 182 cases of iatrogenic bile duct injury were reviewed and analyzed, these patients from 4 university hospitals of China.
应用推荐