内镜治疗腹腔镜胆道术后胆漏  

Endoscopic management of bile leakage after laparoscopic operation of gallbladder and biliary tract

作　　者：费凛[1] 

机构地区：[1]佛山市第一人民医院胆道外科,广东佛山528000

出　　处：《岭南现代临床外科》2015年第3期276-279,共4页Lingnan Modern Clinics in Surgery

基　　金：广东省医学科学技术研究基金项目(A2011588)

摘　　要：目的探讨腹腔镜胆道术后并发胆漏的内镜治疗效果。方法回顾性分析我院腹腔镜胆道术后并发胆漏行内镜治疗的40例患者的临床资料。结果 40例胆漏患者行内镜治疗后痊愈。住院7~35 d,平均14.0±3.5 d,均治愈出院。结论十二指肠乳头和周围结构异常、乳头微结石嵌顿是腹腔镜胆道术后并发胆漏的重要因素;内镜是治疗腹腔镜胆道术后并发胆漏的有效方法。Objective To explore the effectiveness of endoscopic treatment on bile leakage of post laparoscopic biliary surgery. Methods The clinical data of bile leakage in 40 patients with post biliary surgery were reviewed retrospectively. Results All patients were treated by endoscopy through duodenal papilla approach and all got cured. LOS（length of stay） ranged between 7 and 35 days,and ALOS（average length of stay） was 14.0±3.5 days. Conclusion Anomal-duodenal papilla, micro calculus incarceration are the important factors about non-iatrogenic medical of biliary peritonitis on biliary surgery. Endoscopic treatment is effective in the management of post-operative bile leakage.

关 键 词：十二指肠乳头异常 胆道术后胆漏 内镜治疗 

分 类 号：R656.6[医药卫生—外科学]