腹腔镜胆囊切除术后胆漏的临床分析

目的 :探讨腹腔镜胆囊切除术后胆漏的原因及合理治疗方法。方法 :回顾分析 2 5 432例腹腔镜胆囊切除术后并发 32例胆漏的临床资料。结果 :4例行开腹手术治疗 ;13例单纯引流 ,其中 3例中转开腹 ;腹腔镜探查 15例 ,13例在腹腔镜下完成治疗 ,2例中转开腹手术治疗。结论 :腹腔镜胆囊切除术置肝下引流管治疗胆漏有很高的应用价值 ,B超引导置管治疗仅适于迟发包裹性胆漏。

Clinical discussion on bile leakage after laparoscopic cholecystectomy

Objective:To explore the reason and treatment for bile leak after laparoscopic cholecystectomy(LC).Methods:32 cases with bile leak after LC were retrospectively analyzed.Results:4 cases were performed laparotomy. 13 cases were performed drainage, and 3 cases were transferred to open operation. 15 cases were performed laparoscopic exploration, 13 cases of them were treated under laparoscopy, and 2 cases were transferred to open operation. Conclusions:Drainages below livers after LC are high valuable in treating bile leak, But B ultrosonography leading drainage is only useful for late encapsulated bile leak.