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【目的】探讨胆囊切除术中医源性胆道损伤的原因及防治措施。【方法】回顾分析8例医源性胆道损伤患者的发生原因、处理方法、手术过程、随访远期效果。【结果】8例患者平均随访4．5（3～8）年，未出现胆管狭窄、胆管炎胆道感染等其他并发症。【结论】树立预防医源性胆道损伤的理念，严格遵循“辨切辨”三字原则，尽可能地把所有预防工作落实在胆道损伤之前，医源性胆道损伤多是可以控制和预防的。“,”Objective]To explore the cause and prevention of iatrogenic bile duct injury during cholecys‐tectomy .[Methods]Retrospective analyses were conducted for the causes ,treatments ,operative procedures and long‐term outcomes of 8 cases of iatrogenic bile duct injury .[Results]The average follow‐up period was 4 . 5 (3~8) years .There was no onset of bile duct stricture ,biliary tract infection or other complications .[Con‐clusion]For preventing iatrogenic bile duct injury ,we should strictly observe the principle of “distinguishing , cutting and distinguishing”and apply other preventive measures .