Laparoscopic cholecystectomy bile leakage after partial hepatectomy causes and treatment of.docVIP

 PAGE \* MERGEFORMAT 9 Laparoscopic cholecystectomy bile leakage after partial hepatectomy causes and treatment of Author: Dong Cheng Lei LUO Hai-feng WANG Hong-jiang Li Kejun grind Gong Peng Zhao Zuo-Wei Zhong-Yu Wang [Abstract] Objective: To evaluate laparoscopic partial nephrectomy (laparoscopic subtotal cholecystectomy, LSC) of bile leakage after the causes, prevention methods and treatment measures. Methods: Retrospective analysis of 26 cases of LSC postoperative bile leakage in 3 cases (0.12%) reasons. Results: 1 case of intraoperative anterior bile duct was electric knife point-like burns, two cases of aberrant bile duct injury, were cured by conservative treatment. Conclusion: LSC postoperative bile leakage in patients with abdominal pain should be considered the possibility of aberrant bile duct injury, bile duct burns for laparoscopic cholecystectomy bile leakage after partial hepatectomy in a common cause, we must carefully identify the anatomical structure of Calot triangle, in the separation of the gallbladder bed and the gallbladder Triangle district should be organized fiber cable clamp and then cut off, to avoid the heat conduction bile duct injury. In addition, to timely grasp the timing of transit abdominal surgery, which is to prevent complications such as bile leakage occurred in the key. [Keywords:] Cholecystectomy, laparoscopic; bile leakage; complications Causes and treatmemt of biliary fistula after laparoscopic subtotal cholecystectomy [Abstract] Objective: To investigate the cause and management for bile leakage after laparoscopic subtotal cholecystectomy (LSC). Methods: Three bile leakage cases of 26 LSC procedure performed in the First Affiliated Hospital of Dalian Medical University were retrospectively analyzed.Results: Two cases of aberrant duct injury and 1 case of bile duct anterior wall scorched were cured by conservative therapy.Conclusions: Bile duct injury is the most common cause of bile leakage after LSC.Patent drai