Research on correlated risk factors of bile duct injury induced by laparoscopic cholecystectomy
10.3969/j.issn.1671-8348.2015.02.027
- VernacularTitle:影响腹腔镜胆囊切除术胆管损伤的相关危险因素研究
- Author:
Shenglin LONG
;
Hua YANG
;
Haijing TANG
- Publication Type:Journal Article
- Keywords:
cholecystectomy,laparoscopic;
bile duct diseases;
wounds and injuries;
risk factors
- From:
Chongqing Medicine
2015;(2):224-225,228
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlated risk factors of bile duct injury induced by laparoscopic cholecystectomy ,and to reduce the rate of bile duct injury companied with LC and improved patients condition after LC .Methods One thousand two hun‐dred and forty four patients who had been done the laparoscopic cholecystectomy in our hospital were searched from December 2003 to December 2013 for their case notes .The relationship between rate of bile duct injury induced by laparoscopic cholecystectomy and gender ,age ,time of LC surgery ,pathology ,gallbladder wall thickness ,liver function levels ,the existence of the gallbladder triangle anatomical anomalies and physician experience were analyzed by logistic regression method .Results Logistic regression analysis showed that patients did LC surgery at early time ,with acute cholecystitis ,with gallstones combined effusion ,with gallbladder wall thicker than 4 mm and with gallbladder triangle anatomical anomalies were likely to have bile duct injury induced by LC (P<0 .05) .And doctor′s experience on LC is another important factor as well (P<0 .05) .Conclusion According to the correlated risk factors of bile duct injury caused by laparoscopic cholecystectomy ,methods should be employed to reduce the bile duct injury .And sharing experience between doctors and learning new techniques could be helpful ,too .
