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首页> 外文期刊>Journal of hepato-biliary-pancreatic surgery >Features and management of bile leaks after laparoscopic cholecystectomy.
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Features and management of bile leaks after laparoscopic cholecystectomy.

机译：腹腔镜胆囊切除术后胆漏的特征和处理。

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摘要

BACKGROUND/PURPOSE: Leakage of bile is one of the troublesome complications after laparoscopic cholecystectomy. METHODS: The present study reviewed our experience with this complication, in order to analyze its characteristics and proper management. RESULTS: Postoperative bile leaks occurred in 23 of 1365 patients (1.7%) undergoing laparoscopic cholecystectomy from July 1990 to May 2002, with the policy of routine operative cholangiography and routine drainage of the gallbladder bed. These patients could be divided into four types. In type 1 (17 patients), bile leakage stopped spontaneously within 3 days (subclinical group). In type 2 (3 patients), the leak continued for longer than 3 days but was controlled by an endoscopic nasobiliary drainage (ENBD tube; minor-leakage group). In type 3 (2 patients), bile leakage continued for longer than 3 days and required open repair (major-leakage group). In type 4 (1 patient), bile leakage started several days after surgery (delayed-leakage group). CONCLUSIONS: It is thought that better understanding of these four types of bile leakage should help in the proper management of this complication.
机译：背景/目的：胆漏是腹腔镜胆囊切除术后的麻烦并发症之一。方法：本研究回顾了我们在这种并发症中的经验，以分析其特点和适当的治疗。结果：1990年7月至2002年5月，在接受腹腔镜胆囊切除术的1365例患者中，有23例（1.7％）发生了胆汁泄漏，采用了常规的胆道造影术和胆囊床常规引流术。这些患者可以分为四种类型。在1型（17例患者）中，胆汁渗漏在3天内自发停止（亚临床组）。在2型（3例患者）中，渗漏持续了超过3天，但受内镜鼻胆管引流（ENBD管;轻微渗漏组）控制。在3型（2例患者）中，胆汁渗漏持续超过3天，需要进行开放性修复（大渗漏组）。在4型（1例患者）中，手术后几天（延迟漏气组）开始出现胆漏。结论：认为更好地了解这四种胆汁渗漏应有助于正确处理该并发症。

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