Bile leakage after laparoscopic cholecystectomy causes and prevention.docVIP

 PAGE \* MERGEFORMAT 7 Bile leakage after laparoscopic cholecystectomy causes and prevention [Abstract] Objective laparoscopic cholecystectomy (LC bile leakage after the causes and prevention measures. Method in our hospital from June 2004 to August 2010 in 8 cases of bile leakage after LC were retrospectively analyzed. Results of the group of patients extrahepatic bile duct injury in 4 cases, 1 case of aberrant biliary leakage, 2 cases of cystic duct stump leakage, biliary Bile leakage bag bed in 1 case, 5 cases of laparoscopic examination revealed 4 cases of complete endoscopic surgery, 1 case, the line of common bile duct jejunum anastomosis Roux-eny, 2 cases ERCP + ENBD.1 cases of simple abdominal cavity drainage were cured discharged. Conclusion prevention of bile leakage after LC is the key. familiar anatomic variations of bile duct, gallbladder triangle dissection technique to master. If the diagnosis of bile leak as soon as possible and choose the appropriate treatment to avoid more serious complications. [Keywords:] laparoscopic cholecystectomy, bile leakage Laparoscopic cholecystectomy (laparoscopic chole cystectomy, LC) has become the treatment of benign gallbladder disease, the gold standard. [1] However, bile leakage after surgery LC is a common complication of the literature reported prevalence ranging from 0.2 to 1.0%. [2] if not handled properly, will lead to more serious consequences for patients, and even life-threatening. Therefore, the prevention of the occurrence of bile leakage after LC and early diagnosis, select the appropriate method of treatment is especially important. now our hospital in 2004 June to August 2010 were 8 cases of bile leakage diagnosis, treatment results were analyzed and reported as follows. 1 Materials and Methods 1.1 Clinical data The group of 8 patients, 3 males and 5 females, aged 30 to 72 years, mean age 51 years, of which 6 cases of acute cholecystitis, chronic atrophic cholecystiti