摘要
目的:总结腹腔镜胆总管探查术(laparoscopic common bile duct exploration,LCBDE)术后的并发症及防治方法。方法:回顾分析1996年10月至2008年6月我院行436例LCBDE中22例患者发生并发症的临床资料。结果:22例患者中,6例术后发生胆漏,3例术后早期发生"T"管脱落,11例胆总管残石,2例"T"管拔除后胆漏。22例均痊愈出院。结论:娴熟的腹腔镜技术和腹腔镜下胆道镜技术是减少LCBDE并发症的关键因素。
Objective : To discuss the prevention and treatment of complications after laparoscopic common bile duct exploration (LCBDE). Methods:The clinical data of 22 cases with complications after LCBDE from Oct. 1996 to Jun. 2008 were collected and analyzed retrospectively. Results: Among the 22 cases, postoperative bile leakage occurred in 6 cases, T-tube defluvium in 3 cases, remnant stone in the common bile duct in 11 cases and bile leakage after exelcymosis of T-tube in 2 cases. All cases recovered after appropriate treatment. Conclusions:The skilled laparoscopic and choledochoscopic techniques should be guaranteed to prevent the complications of LCBDE.
出处
《腹腔镜外科杂志》
2009年第5期353-354,共2页
Journal of Laparoscopic Surgery
关键词
腹腔镜术
胆总管结石
胆道镜检查
并发症
Laparoscopy
Cboledocholithiasis
Choledochoscopy
Complication