腹腔镜胆囊切除术后胆漏及胆管损伤的临床分析及对策探讨  

Clinical analysis and countermeasures of bile leakage and bile duct injury after laparoscopic cholecystectomy

作　　者：薛有锋 杨建明 Xue Youfeng;Yang Jianming(General Surgery Area I,Fuqing Hospital,Fuqing,Fujian,350300,China)

机构地区：[1]福清市医院普通外科一区,福建福清350300

出　　处：《当代医学》2020年第9期125-126,共2页Contemporary Medicine

摘　　要：目的探讨腹腔镜胆囊切除术后胆漏及胆管损伤的临床分析及对策。方法选取2017年4月至2018年10月年本院收治的60例胆囊结石患者作为研究对象,均给予腹腔镜胆囊切除术治疗,观察治疗后总有效率,且评估术后胆漏及胆管损伤所占比例。结果60例胆囊结石患者经腹腔镜胆囊切除术治疗后总有效率高达98.33%,其中显效39例、有效20例、无效1例;其中5例患者在术后发生胆漏及胆管损伤等情况,占比8.33%;经临床积极治疗后,均安全出院,经B超检查腹腔无积液及残余结石,且无腹腔感染等并发症,术后随访6个月后无严重并发症发生。结论对于腹腔镜胆囊切除术后胆漏及胆管损伤等情况的发生需侧重于提前预防,早发现,尽治疗,继而最大程度促使患者康复。Objective To explore the clinical analysis and Countermeasures of bile leakage and bile duct injury after laparoscopic cholecystectomy.Methods From April 2017 to October 2018,60 patients with gallstones in our hospital were selected as the research subject.All patients were treated with laparoscopic cholecystectomy.The total effective rate after treatment was observed and the proportion of bile leakage and bile duct injury was evaluated.Results After laparoscopic cholecystectomy,the total effective rate of 60 patients with gallstones was 98.33%,among which 39 cases were effective,20 cases were effective,and 1 case was ineffective.Among them,5 cases suffered from bile leakage and bile duct injury,the percentage was 8.33%.After active clinical treatment,all patients were discharged safely,no ascites and residual stones were found in the abdominal cavity,and no complications such as abdominal infection were found.After 6 months follow-up,no serious complications occurred.Conclusion For the occurrence of bile leakage and bile duct injury after laparoscopic cholecystectomy,we need to focus on early prevention,early detection,early treatment,and then to promote the recovery of patients as soon as possible.

关 键 词：腹腔镜胆囊切除术 胆漏 胆管损伤 

分 类 号：R657.4[医药卫生—外科学]