摘要
目的探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术后发生胆汁性腹膜炎的原因及治疗措施。方法对我院1993年3月到2009年3月腹腔镜下胆囊切除术后发生的25例胆汁性腹膜炎的处理进行回顾性分析。结果8例经再次手术,10例行B超介入置管引流(猪尾巴管),7例行B超介入置管引流联合内镜逆行胰胆管造影(ERCP)放置鼻胆管或内支架引流,均治愈出院。结论B超介入的腹腔引流联合ERCP放置鼻胆管或内支架引流是LC术后发生的胆汁性腹膜炎的一种安全而有效的方法。
Objective To investigate the cause and treatment of biliary peritonitis after lapaxoscopic eholecystectomy. Methods The clinical data of 25 cases with biliary peritonitis after laparoscopic cholecystectomy treated at our hospital from March 1993 to March 2009 were reviewed retrospectively. Results Of the 25 cases,8 cases were treated with operative therapy, 10 cases required percutaneous drains by B-ultrasound, and the other 7 cases were managed with percutaneous drains Combined with Endoscopic retrograde cholangiopan-creatography（ERCP） with placement of a biliary stent or nasobiliary（NB） drain . One of the cases, who had severe infection and septicemia, was treated with continuous renal replacement therapy （CRRT） besides percutaneous drains and ERCP. All the cases were cured. Conclusion Percutaneous drains by B-ultrasound Combined with ERCP is an effective and safe method for management of biliary peritonitis after laparoscopic cholecystectomy.
出处
《肝胆外科杂志》
2009年第6期441-443,共3页
Journal of Hepatobiliary Surgery
关键词
腹腔镜
胆囊切除术
胆漏
胆汁性腹膜炎
内镜逆行胰胆管造影
Laparoscopic
Cholecystcctomy
Bile leakagep
Biliary peritonitis
Endoscopic retrograde cholangiopan-creatography
