摘要
目的:探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术后胆漏的原因及治疗措施。方法:对我院2002年6月至2007年7月收治的12例LC术后胆漏病例进行回顾性分析。结果:12例胆漏中4例在术后24h内发现,其中3例为肝外胆道损伤,1例为胆囊管残端钛夹脱落;8例在术后48h以后发现,其原因为胆囊床毛细胆管渗漏、迷走胆管损伤和胆总管热损伤。手术治疗8例,保守治疗4例,无死亡病例。结论:LC术后胆漏重在预防,如果发生胆漏则应早期诊断并选择适当的方法进行处理,减少严重并发症的发生。
Objective ： To investigate the diagnosis and treament of bile leakage after laparoscopic cholecystectomy （ LC ）. Methods ：The data of 12 cases with bile leakage after LC in our hospital from June 2002 to July 2007 were retrospectively analyzed. Results： Four cases occured in 24h postoperatively,3 cases among them for injury of bile duct outside liver, the other one for the ductus cysticus stump＇s clip exfoliation. 8 cases occured after LC in 48 hours,because of leakage of cholangiole,injury of aberrant duct or heat injury of common bile duct. There is no death case,8 cases were treated with operation and 4 with expectant treatment. Conclusions：Pay atten- tion to precantion is the key point to avoid bile leakage in LC. Promptly diagnosis and choose the appropriate treatment can reduce the occurence of the more serious complication when bile leakage happened.
出处
《腹腔镜外科杂志》
2008年第2期153-154,共2页
Journal of Laparoscopic Surgery
关键词
胆囊切除术
腹腔镜
胆漏
诊断
治疗
Cholecystectomy, laparoscopic
Bile leakage
Diagnosis
Treatment
