Diagnosis and treatment of biliary tract analysis of 22 cases of jaundice after.docVIP

 PAGE \* MERGEFORMAT 10 Diagnosis and treatment of biliary tract analysis of 22 cases of jaundice after Author: Bin Zhou Hongbin Wang Xianglong ZHU Yao-Lin Chien-Standard [Keywords:] of jaundice after biliary tract Postoperative biliary jaundice have occurred in clinical practice, multi-residue and bile duct stones, bile duct injury, biliary fistula, liver cell injury and so close. If the differential diagnosis and treatment of jaundice after inappropriate, often resulting in serious adverse consequences. This study shared surgical and non-surgical treatment of jaundice after handling all types of biliary tract disease in 22 cases, postoperative jaundice is now on the causes, prevention and treatment measures reported are as follows. 1 Materials and Methods 1.1 General information from January 2001 to December 2007, Wenling City, Ruo Wang Center Hospital with jaundice occurring in 22 cases of biliary tract surgery, 13 cases were males and 9 females, aged 30 to 80 years with an average (53.10 ± 6.75) years of age. Biliary tract surgical method: laparoscopic cholecystectomy (laparoscopic cholecystectomy, LC) 12 cases of open cholecystectomy plus common bile duct exploration in 10 cases, including 2 cases with left hepatectomy, 10 cases of common bile duct exploration are placed T-tube drainage. Jaundice in the postoperative 2 ~ 3d appear, with varying degrees of right upper quadrant pain, fever and so on, liver function and prompt review of all cases of total bilirubin higher than those in the original, are in 72.8umol / L or more. 1.2 diagnosis and treatment of 22 cases of jaundice after biliary tract diagnosis according to serum bilirubin, serum liver enzymes, urine bilirubin and other laboratory tests and B-, endoscopic retrograde cholangiopancreatography (endoscopic retrograde cholangiopan-creatography, ERCP), magnetic resonance MRCP (magnetic resonance cholangiopancreatography, MRCP), via T-tube cholangiography such as examination, diagnosis and treat