TY - Jour A2 - 王，彭辉奥 - 潘特，纳伦德拉奥地亚州，Tek Narayan Au - Amaale，Laligen Au - Deo，Kunal Bikram Au - Dhakal，Yogesh Au - Adhikary，Shailesh Py - 2020 Da - 2020/04 /21 TI - 目前的后骨切除术胆汁泄漏和尼泊尔三级护理推荐中心的胆管损伤 - 4382307 VL - 2020 AB - 客观的。凭借在学术研究所的安全胆囊切除术原则采用，主要胆管损伤的风险减少了。本研究旨在评估胆管损伤的现状，与指数中心发表的研究相比。 方法。这是从2014年到2019年期前维护的胆汁泄漏和胆管损伤数据库的回顾性审查。包括后骨切除胆汁泄漏或胆管损伤治疗的患者并在定期随访中。 结果。含有胆管损伤的2,300名连续胆囊切除术中的十八名（0.78％），包括8（0.35％）主要胆管损伤和10（0.43％）胆汁泄漏，而主要胆管损伤为0.68％（92 / 11,345胆囊切除术）between 2001 and 2010. Injuries were classified as Strasberg’s type A (52.9%), type D (5.9%), and type E (41.1%). Eight patients (47%) of bile leak were managed conservatively with drains, while two required laparotomy and lavage. The mean time for spontaneous closure of bile leak was 11 days. Intraoperative repair was done in three cases: Roux en Y hepaticojejunostomy in 2 and end-to-end repair over T-tube in 1 for sharp transection of the duct. Delayed repair (Roux-en-Y hepaticojejunostomy) was done in five patients. The median postcholecystectomy hospital stay was 8 days, with no mortality. There was no restricture at a median follow-up of 13 months. 结论。随着采用胆囊切除术的安全培养，目前主要的胆管损伤率下降。经验丰富的肝胆外科医生的胆管损伤修复导致出色的结果。SN - 2090-1445 UR - https://doi.org/10.1155/2020/4382307 do - 10.1155 / 2020/4382307 jf - 微创手术pb - hindawi kw - er -