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

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