内镜在腹腔镜胆囊切除术后胆漏治疗中的应用

目的:探讨内镜在腹腔镜胆囊切除术(LC)术后胆漏治疗中的应用价值。方法:10例胆漏患者均先行内镜下十二指肠乳头切开经鼻胆管引流术,继续保留原有胆道、腹腔引流。胆道、腹腔引流停止1~2周且证实胆漏愈合后拔管。结果:10例胆漏患者经鼻胆管引流2~3周后,胆漏处均闭合,无严重并发症发生。结论:内镜治疗可作为LC术后胆漏早期治疗的有效方法。

Endoscopic treatment of biliary leakage after laparoscopic cholecystectomy

Objective:To explore the effect of endoscopic treatment on biliary leakage after LC.Methods:10 patients with biliary leakage were treated by endoscopic sphincoterotomy and endoscopic nasohiliary drainage(ENBD),while maintaining abdominal cavity drainage.ENBD was removed when biliary leadkage healed and abdominal cavity drainage ceased for 1-2 weeks.Results:10 patients with biliary leakage were cured 2-3 weeks after ENBD with no postoperative complications.Conclusions:Endoscopic therapy is the choice for treating early biliary leakage.