Of laparoscopic cholecystectomy biliary fistula prevention and treatment of Experience.docVIP

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Of laparoscopic cholecystectomy biliary fistula prevention and treatment of Experience.doc

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Of laparoscopic cholecystectomy biliary fistula prevention and treatment of Experience

Of laparoscopic cholecystectomy biliary fistula prevention and treatment of Experience [Paper Keywords] Biliary endoscopic; cholecystectomy; bile leakage; complications [Abstract] Objective To evaluate laparoscopic cholecystectomy (Laparoscopic cholecystectomy LC) bile leakage causes and control measures. Method of Daqing Oil Field General Hospital from January 2002 to December 2005 were carried out between LC600 I cases, of which 7 cases of bile leakage occurred clinical data were analyzed retrospectively. The results of surgical indication to relax, bile duct injury, cystic duct, and improper handling of the capillary bile duct or the presence of the vagus lack of knowledge is an important factor for bile leakage. Conclusion strict control of surgical indication, fully exposed, standardized processing Calot triangle, the cystic duct and gallbladder bed is the key to prevention of bile leakage. From January 2002 to December 2005, the Daqing Oil Field General Hospital, a total of more than OK LC600 cases, including bile leakage occurred in 7 cases, are as follows. A clinical data and methods 1.1 The concurrent clinical data in this group of 7 cases of bile leakage in 3 males and 4 females, aged 42 to 61 years old, three cases of chronic cholecystitis, 2 cases of chronic atrophic cholecystitis, chronic cholecystitis with acute exacerbation 2 cases. Preoperatively in all cases were confirmed by color Doppler ultrasound of gallbladder stones inside presence, including 1 case of cystic duct expansion. 1 cases of history of diabetes for 7 years. 1.2 surgical tracheal intubation using intravenous general anesthesia, the abdominal wall four-hole technology Rufu to CO2 pneumoperitoneum machine automatically filled into the manufacture of CO2 pneumoperitoneum pressure is 9 ~ 14 mm Hg. 2 Results There were no deaths, intraoperative bile leakage was found in 2 cases, due to bile duct injury. By bile duct injuries were laparotomy transit processing; one case