腹腔镜胆囊切除术后胆漏的处理  

THE MANAGEMENT OF BILE LEAKAGE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

作　　者：邢建桥[1] 付京[1] 张鹏[1] 雷团结[1] 

机构地区：[1]解放军第451医院,西安710054

出　　处：《肝胆外科杂志》2008年第1期27-29,共3页Journal of Hepatobiliary Surgery

摘　　要：目的探讨腹腔镜胆囊切除术（Laparoscopic Cholecystectomy,LC）术后胆漏的各种处理方式。方法回顾性分析我院2000年2月-2005年5月施行的LC3868例。结果术后发生胆漏22例,胆漏发生率为0.56%。所有胆漏患者经保守治疗、再次腹腔镜探查置管、内镜治疗和腹腔引流管充分引流后造影拔管治疗。结论非主胆道损伤所引起的胆漏多可经非开腹手术治疗而治愈。Objective To explore the treatment of bile leakage after Laparoscopic Cholecystectomy. Method The clinical data of 3868 patients who underwent LC from February 2000 to May 2005 was analyzed retrospectively. Results Bile leakage occurred in 22 cases（0. 56% ）. 11 cases underwent conservative treatment,5 cases accepted re-Laparoscopic explore,ERCP treatment was performed for 3 cases, and another 3 cases treated by abdominal drainage for 2 - 3 monthes, decannulation when cholangiography showed bile duct was normal. Conclusion Most cases of bile leakage after LC were cured by non-operation management.

关 键 词：腹腔镜胆囊切除术 胆漏 

分 类 号：R657[医药卫生—外科学]