腹腔镜胆总管探查术后T管并发症的原因及防治.pdfVIP

腹腔镜胆总管探查术后T管并发症的原因及防治 戴北鸿，杨鸿海，佘科霖，向明松，曾捷 (怀化市第二人民医院普外科，湖南怀化418200) [摘要]目的 探讨腹腔镜胆总管探查术后T管并发症的原因及防治措施。方法 对 进行回顾性分析。结果 经保守治疗治愈13例，经胆道镜再次取石治愈1例，再次行开腹手 术治愈2例。结论 腹腔镜胆道探杏术后T管并发症的发生原因主要与手术操作技术，术后处 理及患者自身囚素相关；提高手术操作技术，术后及时、正确的处理是防治术后T管并发症 的关键。 [关键词]腹腔镜：胆总管探查术；T管并发症 [中图分类号]R657．4 andtreatmentof T-tube，S Causes，prevention complicationfollowing commonbileduct DAI Iaparoscopic explorationBeihong．YANG Kelin，et ofGeneral Second Honghai，SHEa1．DepartmentSurgery,the of 418200 Huaihua．Huaihua People’SHospitaI To the andtreatmentof [Abstract]Objectiveinvestigatecauses，prevention T-tube，S commonbileduct Clincaldataof16 whohave followinglaparoscopic exploration．Methodspatients underwent commonbileduct andT-tube between2002-2007were laparoscopic exploration drainage studied 13 werecuredconservtive wascured retrospectively．Resultspatients by therapy。1patient were second 2 cured abdominal by chOIedOchoscopicexploration，andpatients byopening operation． Conclusion wererelatedtothe handleandthe were Some complications operative expertise，others relatedtothe rational and patient，Scondition；Advancedhandle，and postoperativetherapy operative treatmentwithoutwerethe in and the proper delay keypreventingtreatingcomplications． bileduct [Keywords]Laparosc