Abstract：
Laparoscopic cholecystectomy is one of the most frequently performed operations by general surgeons, with up to 1 million cholecystectomies performed annually in the United States alone. Despite familiarity, common bile duct injury occurs in no less than 0.2% of cholecystectomies, with significant associated morbidity. Understanding biliary anatomy, surgical techniques, pitfalls, and bailout maneuvers is critical to optimizing outcomes when encountering the horrible gallbladder. This article describes normal and aberrant biliary anatomy, complicated cholelithiasis, ways to recognize cholecystitis, and considerations of surgical approach.
摘要：
腹腔镜胆囊切除术是普外科医生最常进行的手术之一,仅在美国，每年就有多达100万例胆囊切除术。尽管熟悉,胆总管损伤发生在不低于0.2%的胆囊切除术中，具有显著的相关发病率。了解胆道解剖学，外科技术,陷阱,当遇到可怕的胆囊时，救助行动对于优化结果至关重要。这篇文章描述了正常和异常的胆道解剖，复杂的胆石症，识别胆囊炎的方法，以及手术方法的考虑。
