| 腹腔镜胆囊切除术后胆漏原因分析及处理 |
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| 引用本文： | 王小梅,刘维惠,秦双征,秦德芳,龚建平.腹腔镜胆囊切除术后胆漏原因分析及处理[J].重庆医学,2009,38(12). |
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| 作者姓名： | 王小梅 刘维惠 秦双征 秦德芳 龚建平 |
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| 作者单位： | 重庆医科大学附属第二医院肝胆外科,400010 |
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| 摘 要： | 目的 探讨腹腔镜胆囊切除术后发生胆漏的主要原因、治疗方法及护理经验.方法 分析16例腹腔镜胆囊切除术后发生胆漏原因,并给予相应治疗和护理.结果 迷走胆管漏12例,胆囊管残端钛夹滑脱发生胆漏2例,胆囊管残端烧灼后坏死发生胆漏2例.13例在腹腔镜下经腹腔引流管引流后6～19d痊愈出院;3例手术探查,行胆总管切开引流加腹腔引流术后21～30d痊愈出院.结论 手术时对胆囊三角的处理要仔细,尽量避免使用电凝钩;胆囊床要避免地毯式电凝;在胆囊床发现管状结构时要用钛夹或合成夹夹闭,不要用电凝处理.术后严密观察和细致护理是及早发现胆漏并作相应治疗的重要措施.
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| 关 键 词： | 腹腔镜胆囊切除术 胆漏 治疗 护理 |
Postoperative management of bile leakage after laparoscopic cholecystectomy |
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| WANG Xiao-mei,LIU Wei-hui,QIN Shuang-zheng,et al..Postoperative management of bile leakage after laparoscopic cholecystectomy[J].Chongqing Medical Journal,2009,38(12). |
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| Authors: | WANG Xiao-mei LIU Wei-hui QIN Shuang-zheng |
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| Institution: | WANG Xiao-mei,LIU Wei-hui,QIN Shuang-zheng,et al.(Department of Hepatobiliary Surgery,the Second Affiliated Hospital,Chongqing Medical University,Chongqing 400010,China) |
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| Abstract: | Objective To analyze the causes and treatment of bile leakage after laparoscopic cholecystectomy(LC).Methods Sixteen patients were analyzed in the causes of bile leakage after laparoscopic cholecystectomy.Results After placing peritioneal cavity drainage tube alone(13 patients) or having recourse to reoperation to performe drainage(3 patients),all the patients got recovered.Conclusion Surgeons should carefully dissect the Calot triangle and avoid using hookelectrode instrument.Carpeted electric coagulation ... |
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| Keywords: | laparoscopic cholecystectomy bile leakage treatment nursing |
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