内镜在腹腔镜胆囊切除术后胆漏治疗中的应用
内镜,,内镜;胆漏;胆囊切除术,腹腔镜,1资料与方法,2结果,3讨论,参考文献:
【摘要】 目的:探讨内镜在腹腔镜胆囊切除术(LC)术后胆漏治疗中的应用价值。方法:10例胆漏患者均先行内镜下十二指肠乳头切开经鼻胆管引流术,继续保留原有胆道、腹腔引流。胆道、腹腔引流停止1~2周且证实胆漏愈合后拔管。结果:10例胆漏患者经鼻胆管引流2~3周后,胆漏处均闭合,无严重并发症发生。结论:内镜治疗可作为LC术后胆漏早期治疗的有效方法。【关键词】 内镜;胆漏;胆囊切除术,腹腔镜
Endoscopic treatment of biliary leakage after laparoscopic cholecystectomy
MIN Kai,LIU Yan,YE Fang.
The Dept.of Microsurgery Center of Clinical Medicine,the First Hospital of Wuhan,Wuhan 430020,China
【Abstract】 Objective:To explore the effect of endoscopic treatment on biliary leakage after LC.Methods:10 patients with biliary leakage were treated by endoscopic sphincoterotomy and endoscopic nasohiliary drainage(ENBD),while maintaining abdominal cavity drainage.ENBD was removed when biliary leadkage healed and abdominal cavity drainage ceased for 12 weeks.Results:10 patients with biliary leakage were cured 23 weeks after ENBD with no postoperative complications.Conclusions:Endoscopic therapy is the choice for treating early biliary leakage.
【Key words】 Endoscopy;Biliary leakage;Cholecystectomy,laparoscopic
黄志强[1]统计腹腔镜胆囊切除术(LC)比例可占全部胆囊切除术的90%以上 ......
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