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内镜在腹腔镜胆囊切除术后胆漏治疗中的应用
http://www.100md.com 《腹腔镜外科杂志》 2006年第2期
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 12 weeks.Results:10 patients with biliary leakage were cured 23 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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