内镜治疗腹腔镜胆道术后胆漏

doi:j.issn.1009-976X.2015.03.009

岭南现代临床外科 ›› 2015, Vol. 15 ›› Issue (03): 276-279.DOI: j.issn.1009-976X.2015.03.009

内镜治疗腹腔镜胆道术后胆漏

费凛

佛山市第一人民医院

通讯作者: 费凛

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

Fei Lin

Received:2014-12-03 Revised:2015-03-18 Online:2015-06-20 Published:2015-06-20

摘要/Abstract

摘要： 【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。

关键词: 十二指肠乳头异常, 胆道术后胆漏, 内镜治疗

Abstract: 【Abstract】 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.

Key words: Duodenal papilla abnormity, Bile leakage, Endoscopic treatment, Micro calculus incarceration

中图分类号:

R656.6

费凛. 内镜治疗腹腔镜胆道术后胆漏[J]. 岭南现代临床外科, 2015, 15(03): 276-279.

Fei Lin. Endoscopic management of bile leakage after laparoscopic operation of gallbladder and biliary tract[J]. Lingnan Modern Clinics in Surgery, 2015, 15(03): 276-279.

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

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