Laparoscopic cholecystectomy bile leakage prevention.docVIP

 PAGE \* MERGEFORMAT 10 Laparoscopic cholecystectomy bile leakage prevention [Abstract] Objective: To evaluate the bile leakage after laparoscopic cholecystectomy causes, prevention, and treatment measures. Methods: 280 cases of laparoscopic cholecystectomy in patients with bile leakage in 5 cases were retrospectively analyzed. Results: common bile duct injury in 1 patients, the repair and tube drainage were cured, 4 cases out of the bile drainage tube after surgery, without special treatment and cure. Conclusion: The extrahepatic bile duct, bile duct injury and aberrant cystic duct stump leakage is abdominal bile leakage after cholecystectomy mirror the main reason for establishing smooth peritoneal drainage, bile duct repair the line, T tube drainage or biliary-enteric anastomosis to support the treatment of bile leakage after laparoscopic cholecystectomy, the main method to prevent complications. [Keywords:] laparoscopic cholecystectomy, bile leakage Laparoscopic cholecystectomy (LC bile leakage after, laparoscopic cholecystectomy is a relatively common complication of treatment more difficult .2001 6 months to June 2007, our hospital a total of laparoscopic cholecystectomy 280 cases, of which 5 patients had biliary leakage, were cured after treatment, are as follows. 1 Materials and Methods 1.1 Clinical data: There were 5 cases of bile leakage in 2 males and 3 females, aged from 34 to 69 years, average 52.3 years old. Preoperative diagnosis: gallbladder polyp in 1 case, 4 cases of calculous cholecystitis, including cholecystitis 3 patients in the acute stage after 1 case in the eleventh day of abdominal pain, bloating, fever, signs of diffuse peritonitis, B ultrasound showed ascites, abdominal puncture bile samples out of liquid, timely laparotomy for common bile duct right front longitudinal wall damage (about 0.5 cm, and the other 4 patients were placed on the line hose LC drainage surgery, postoperative drainage of the bile from