单纯胆囊切除后胆漏12例分析

目的 探讨单纯胆囊切除术后并发胆漏的原因及治疗原则。方法 对1992年1月－1999年12月行开腹单纯胆囊切除1516例中，术后并发胆漏的12例临床资料总结分析。结果 胆漏发生率0．79％，胆漏原因：肝外胆管损伤2例，胆囊术肝面伤7例，胆囊管残端漏、胆总管穿刺伤及胆囊粘膜残留各1例。非手术治疗10例，再手术2例，均治愈。结论 胆漏的发生与解剖、病理及手术有关，手术失误是胆漏的主要原因，根据胆漏的原因及漏量选择治疗方案。

Analysis of 12 cases of bile leakage after simple cholecystectomy

Objective To investigate the cause and therapeutic principle of bile leakage after cholecystectomy.Method Materials of 12 cases of bile leakage in 1516 cases of cholecystectomy have been summarized and analyzed from January 1992 to December 1999.Results The incidence for bile leakage was 0.79%(12/1516).Causes of bile leakage included injury of bile duct in 2 cases,injury of liver tissue that the gallbladder was embedded in 7 ,leakage of stump of cystic duct, pentrating injury of common bile duct,and remain of gallbladder mucose in one each.10 cases underwent conservative therapy, 2 cases received reoperation, all were cured. Conclusions Bile leakage is related to anatomy, pathology and operation, malpractice was main cause for bile leakage.Therapeutic plan would be selected according to cause and amount of bile leakage.