腹腔镜胆囊切除术后胆漏的十二指肠镜干预
胆囊切除术,腹腔镜；胆漏；十二指肠镜,,胆囊切除术，腹腔镜；胆漏；十二指肠镜,【关键词】胆囊切除术，腹腔镜；胆漏；十二指肠镜,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)术后胆漏行十二指肠镜治疗的适应证、方法及疗效。方法：回顾分析治疗性ERCP干预7例LC术后胆漏患者的临床资料。结果：7例经内镜下胆道造影明确了胆漏的原因，6例经内镜治疗后胆漏痊愈，1例并发轻症胰腺炎。结论：LC术后对肝外胆管完整、无弥漫性腹膜炎的胆漏，早期行十二指肠镜干预联合腹腔引流可避免再次手术。【关键词】 胆囊切除术，腹腔镜；胆漏；十二指肠镜
Duodenoscopic intervention of bile leakage after laparoscopic cholecystectomy
WANG Yong,YAN Bo.
Punan Hospital,Shanghai 200125,China
【Abstract】 Objective:To explore the indications,method and curative effect of the duodenoscopic intervention for bile leakage after laparoscopic cholecystectomy(LC).Methods:The clinical data of 7 cases of bile leakage after LC was retrospectively analysed.Results:7 cases of bile leakage after LC were confirmed by ERCP,in which 6 patients were cured by duodenoscopy,1 case complicated with light pancreatitis.Conclusions:For those cases with bile leakage after LC whose extrahepatic bile duct is intact and without diffuse peritonitis,duodenoscopy combined with abdominal drainage at early stage can avoid reoperation. ......
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