腹腔镜胆囊切除术后早期梗阻性黄疸分析

Obstructive jaundice in early postoperative period of LC

目的分析腹腔镜胆囊切除术(LC)术后早期梗阻性黄疸的原因,探讨预防和处理措施。方法回顾总结2007年6月至2011年12月我院收治26例LC术后梗阻性黄疸患者临床资料。结果 26例LC术后梗阻性黄疸患者中胆道残留结石16例,钛夹钳夹胆总管或肝总管7例,胆囊癌2例,Oddi括约肌功能障碍1例。结论 LC术后梗阻性黄疸主要原因有胆道残留结石和钛夹损伤。

Objective To discuss the cause, prevention and treatment of obstructive jaundice in early postoperative period of LC. Methods Retrospective analysis was performed in 26 cases of obstructive jaundice who were in early postoperative period of LC from June 2007 to December 2011. Results Among 26 cases of obstructive jaundice in early postoperative period of LC, 16 cases had remnant common bile duct stone, 7 cases had common bile duct injuries by clip, 2 cases had carcinoma of the gallbladder, and 1 case had sphincter of Oddi dysfunction. Conclusion The remnant common bile duct stone and common bile duct injuries by clip are the main causes of obstructive jaundice in early postoperative period of LC.