急性胆囊炎患者腹腔镜胆囊切除术后并发胆管损伤的危险因素分析

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Abstract Objective To study the risk factors of bile duct injury (BDI) after laparoscopic cholecystectomy (LC) in patients with acute cholecystitis (AC). Methods Fifty-eight cases of AC patients with BDI after LC treatment in Qinghai Traffic Hospital (“our hospital” for short) from March 2017 to July 2018 were selected as observation group, and 50 cases of AC patients who were not complicated with BDI after LC in our hospital were selected as the control group. Both groups were routinely treated with LC. The relationship between BDI after LC and sex, age of patients was analyzed. The risk factor of BDI after LC was evaluated by Logistic regression analysis. Complications of the two groups were compared except for BDI. Results The the proportion of thickness of gallbladder wall ＞4 mm, the anatomy of gallbladder triangle had variation, and the physician experience ＜30 cases in the observation group was significantly higher than the control group (P ＜ 0.05). According to the results of Logistic regression analysis, the thickness of the gallbladder wall ＞4 mm, the anatomy of gallbladder triangle had variation, and the physician experience ＜30 cases were the risk factors for BDI after LC (P ＜ 0.05). There was no significant difference in the total incidence of complications besides BDI between the two groups (P ＞ 0.05). Conclusion The risk factors of BDI in patients with AC after LC include the thickness of gallbladder wall ＞4 mm, the anatomy of gallbladder triangle has variation, and the physician experience ＜30 cases. Clinical intervention should be directed against the above factors, which will help to improve the safety of patients.

Key words： Acute cholecystitis Laparoscopic cholecystectomy Bile duct injury Risk factor

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	LIN Jianshou1 CHEN Rongji2 ZHAO Sijuan3 MA Ying1

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LIN Jianshou1 CHEN Rongji2 ZHAO Sijuan3 MA Ying1. Risk factors analysis of bile duct injury after laparoscopic cholecystectomy in patients with acute cholecystitis[J]. 中国医药导报, 2019, 16(13): 99-102.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2019/V16/I13/99

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