中国临床医学2012，Vol.19Issue(1)：38-39,2.
腹腔镜胆囊切除术后胆漏的临床分析
Bile Leak after Laparoscopic Cholecystectomy
吴伟新 1沈卫星 1崔恒官 1章平1
作者信息
- 1. 复旦大学附属中山医院青浦分院外科,上海,201700
- 折叠
摘要
Abstract
Objective: To investigate the causes, prevention and treatment of bile leak after laparoscopic cholccystcctomy. Methods; A total of 10 cases with bile leak after laparoscopic cholccystcctomy were retrospectively reviewed from January 2000 to September 2011. Results: One case was cured after rcopcration; five cases were performed endoscopic nasobiliary drainage (ENBD) with abdominal drainage retained,one of them was transfcrcd to open operation for losing of drainage tube; three cases were performed endoscopic nasobiliary drainage and puncture-drainage under the guide of ultrasonography; one case was performed Roux-cn-Y cholcdochojcjunostomy. All patients were cured in 2 to 5 weeks. Conclusions; Early sufficient drainage is effective for bile leak after laparoscopic cholccystcctomy. Endoscopic retrograde cholangiopancrcatography (ERCP) should be taken once bile leak happen. The key for preventing bile leak is taking prophylactic measures during the operation.关键词
腹腔镜胆囊切除术/胆漏Key words
Laparoscopic cholccystcctomy/ Bile leak分类
医药卫生引用本文复制引用
吴伟新,沈卫星,崔恒官,章平..腹腔镜胆囊切除术后胆漏的临床分析[J].中国临床医学,2012,19(1):38-39,2.
