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首页> 外文期刊>Surgical Endoscopy >The endoscopic management of persistent bile leakage after laparoscopic cholecystectomy.
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The endoscopic management of persistent bile leakage after laparoscopic cholecystectomy.

机译：腹腔镜胆囊切除术后持续胆漏的内镜处理。

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摘要

BACKGROUND: Bile leakage after laparoscopic biliary surgery is a surgical challenge in which endoscopy can play an important role. METHODS: A total of 26 patients underwent endoscopic retrograde cholangiopancreatography (ERCP) in our department. Patients with evidence of major ductal injury were treated surgically. In all other cases, endoscopic sphincterotomy was performed, any retained bile duct stones were removed, and a biliary endoprosthesis or a nasobiliary catheter was inserted on a selective basis. RESULTS: ERCP was successful in 24 patients. Seven patients were treated surgically after cholangiography revealed major ductal injury. Two more patients were eventually operated on due to bile peritonitis. Of the other 15 patients, 11 had leakage from the cystic duct and four had leakage from the gallbladder bed. Bile duct stones were removed from eight patients, an endoprosthesis were inserted in five patients, and a nasobiliary catheter was inserted in two patients. Bile leakage was treated successfully in all 15 patients with no further complications. CONCLUSION: ERCP is a means of safe diagnosing the cause of a bile leakage and offers a definitive treatment in most cases.
机译：背景：腹腔镜胆道手术后胆汁渗漏是一项外科挑战，在内窥镜检查中可以发挥重要作用。方法：我科共26例患者接受内镜逆行胰胆管造影（ERCP）。有重大导管损伤迹象的患者需要手术治疗。在所有其他情况下，均进行内窥镜括约肌切开术，去除所有保留的胆管结石，并选择性插入胆道内假体或鼻胆管。结果：ERCP成功24例。胆管造影显示严重导管损伤后，对7例患者进行了手术治疗。由于胆汁性腹膜炎，最终又有两名患者接受了手术。在其他15位患者中，有11位从胆囊管漏出，有4位从胆囊床漏出。从8例患者中取出胆管结石，在5例患者中插入了假体，在2例患者中插入了鼻胆管。胆汁渗漏在所有15例患者中均得到了成功的治疗，没有进一步的并发症。结论：ERCP是一种安全诊断胆漏原因的方法，在大多数情况下可以提供明确的治疗方法。

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