腹腔镜胆囊切除术后黄疸的原因及防治  

The Reasons and Treatments of Jaundice after Laparoscopic Cholecystectomy

作　　者：周亮[1] 于泉波[1] 刘文胜[1] 刘哲[1] 王继昌[1] 吴爱宁[1] 

机构地区：[1]解放军第155医院外四科,开封47500

出　　处：《白求恩军医学院学报》2008年第1期9-10,共2页Journal of Bethune Military Medical College

摘　　要：目的探讨腹腔镜胆囊切除术(LC)后黄疸的原因、预防措施及处理方法。方法回顾分析本院LC患者1 845例术后发生黄疸的16例临床资料。结果本组术后16例黄疸中肝外胆管结扎2例、胆总管残留结石3例、胆汁漏1例、炎性黄疸5例、肝炎后黄疸2例、输血后黄疸1例、不明原因黄疸2例。经治疗.16例患者全部痊愈。结论LC后黄疸原因复杂.胆管损伤和胆道结石是其主要原因。在诊治LC的过程中,术前严格检查.手术程序规范,可减少LC后黄疸的发生率。Objective To summarize the reasons and treatments of jaundice after LC. Methods The clinical data of sixteen patients with jaundice after LC were analyzed retrospectively. Results There were 2 cases of damages in common bile duct, 3 cases of choledocholith, 1 case of bile leaking, 2 cases of unknown reasons, 5 cases of phlegmasia, 2 cases of hepatitis, I case of blood transfusion. All patients were cured. Conclusion The causes are complicated, Injured in contain bile duct and leaving out concretion of common bile duct are the main reasons of jaundice after LC. In order to reduce the occurrence rate of jaundice, strict examination before operation and standardization of the operatianal procedurc are very important.

关 键 词：胆囊切除术 腹腔镜 黄疸 

分 类 号：R657.4[医药卫生—外科学]