中国临床医学2012，Vol.19Issue(6)：635-636,2.
腹腔镜胆囊切除术后并发胆漏的原因分析
Clinical Analysis of 20 Cases of Bile Leakage after Laparoscopic Cholecystectomy
徐仁平 1徐根才2
作者信息
- 1. 上海市浦东新区书院医院,上海 201304
- 2. 上海市浦东新区光明中医医院外科,上海 201300
- 折叠
摘要
Abstract
Objective:To explore the reason, diagnosis, prevention and treatment of bile leakage after laparoscopic cholecystectomy (LC). Methods: Among the 4860 cases who have undergone LC from June 1994 to June 2012, 20 cases suffered from bile leakage after the operation. The clinical data of them was retrospectively analyzed. Results: Ten patients were treated with in-traperitoneal drainage, and 8 of them recovered after 3 to 21 days. The other 12 cases underwent a second operation and all of them were healed. During the 2 years of follow-up, none of the 20 cases had sequela. Conclusions: Bile leakage after LC is very common, and prevention is very important. When bile leakage occurred, intraoperative peritoneal drainage should be used in time. For those patients who are suffered from localized or diffuse bile peritonitis, reoperation immediately have good efficacy.关键词
腹腔镜胆囊切除术/胆漏/腹腔引流Key words
Laparoscopic cholecystectomy/ Bile leakage/ Intraperitoneal drainage分类
医药卫生引用本文复制引用
徐仁平,徐根才..腹腔镜胆囊切除术后并发胆漏的原因分析[J].中国临床医学,2012,19(6):635-636,2.
