摘要
目的探讨腹腔镜胆总管探查术（LCBDE）术后的并发症及防治方法。方法回顾性分析2010—2015年该院行LCBDE的50例患者发生并发症的临床资料。结果50例患者中，2例术后发生胆瘘，1例术后早期发生“T”管脱落，经腹腔引流管引流后自愈。1例胆总管残石，术后经胆道镜取石后治愈。2例“T”管拔除后胆瘘，经窦道置引流管引流后治愈。50例均痊愈出院。结论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 method of complications after laparo scopic common bile duct exploration （LCBDE）. Methods The clinical data in 50 cases of complications after LCBDE in our hospital from 2010 to 2015 were analyzed retrospectively. Results Among 50 cases,postoperative bile leakage occurred in 2 cases, 1 case developed T tube falling out and was self-cure after drainage by peritoneal drainage tube. One case of residual common bile duct stones was cured by choledochoscopic stone removal. Two cases of bile leakage after T-tube removal were cured after drainage by placing the trans-fistula drainage tube. Fifty cases all were discharged from hospital with cure. Conclusion The choledochoscopic technique and choledochoscopic technique under laparoscopy are the key factors for reducinz the LCBDE complications.
作者
梁志勇
李弼鹏
刘影
Liang Zhiyong Li Bipeng Liu Y ing(Yangzhou Hongquan Hospital, Yangzhou , Jiangshu 225200, Chin)
出处
《现代医药卫生》
2016年第B08期10-12,共3页
Journal of Modern Medicine & Health
关键词
腹腔镜检查
胆总管结石
胆道外科手术
手术后并发症
Laparoscopy
Choledocholithiasis
Biliary tract surgical procedures
Postoperative complications
