中国实用外科杂志2015，Vol.35Issue(7)：763-765,3.DOI:10.7504/CJPS.ISSN1005-2208.2015.07.19
应用内镜下逆行胰胆管造影、内镜下鼻胆管引流术治疗腹腔镜胆囊切除术后胆漏10例分析
Biliary leakage after laparoscopic cholecystectomy (LC) treated with endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic naso-biliary drainage (ENBD):An analysis of 10 cases
王瑞官 1李为民 1郑方 1刘浩润 1吴田田 1刘航 1吕家辉1
作者信息
- 1. 中国人民解放军第309医院肝胆外科,北京 100091
- 折叠
摘要
Abstract
Objective To explore the safety and effectiveness of endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic naso-biliary drainage (ENBD) in the treatment of biliary leakage after laparoscopic cholecystectomy(LC). Methods The clinical data of 10 cases of biliary leakage after LC received ERCP and ENBD between May 2010 and June 2014 in the 309th Hospital of PLA were analyzed retrospectively. Results All the cases were operated with ERCP successfully and confirmed with biliary leakage. There were 4 cases of common hepatic duct leaks, 2 cases of right hepatic duct leaks and 4 cases of cystic duct stump leaks. Residual stones occurred in 3 cases, which were operated with endoscopic sphincterotomy(EST) and calculus removed. ALL the cases were placed with naso-biliary drainage tube. The operative time ranged from thirty minutes to sixty minutes with a mean of forty minutes. No intraoperative and postoperative complication occurred. The blood amylase and urinary amylase were normal at the first day postoperatively. The patients could eat liquid diet at the second day postoperatively. All the cases were cured completely. The healing time for biliary leakage ranged from seven days to ten days with a mean of nine days. Conclusion ERCP and ENBD are safe and effective diagnosis and nonoperative methods to treat biliary leakage after LC. It can be used as the preferred treatment for bile leakage.关键词
内镜逆行胰胆管造影/鼻胆管引流术/腹腔镜胆囊切除术/胆漏Key words
endoscopic retrograde cholangiopancreatography(ERCP)/endoscopic naso-biliary drainage(ENBD)/laparoscopic cholecystectomy(LC)/biliary leakage分类
医药卫生引用本文复制引用
王瑞官,李为民,郑方,刘浩润,吴田田,刘航,吕家辉..应用内镜下逆行胰胆管造影、内镜下鼻胆管引流术治疗腹腔镜胆囊切除术后胆漏10例分析[J].中国实用外科杂志,2015,35(7):763-765,3.
