腹腔镜处理LC术后胆漏2例报告并文献分析

摘要

Objective To investigate the treatment of biliaryleakage after laparoscopic cholecystectomy by laparoscopy. Methods The clinical data of 2 cases with biliaryleakage in this hospital and artical of biliaryleakage were retrospectively reviewed and analyzed. Results 2 cases al were recovered after laparoscopic exploration and drainage again.1 case was treated by abdominal drainage with laparoscopicapproach again. The fal ing of grip of clip at stump of ductus cysticus in 1case was treated by ligation of ductuscysticus. Conclusion It is an effective and minimal y invasive measure for biliary leakage after laparoscopic cholecystectomy with treatment of laparoscopicapproach again.%目的：探讨腹腔镜处理腹腔镜胆囊切除术后胆漏的治疗效果。方法回顾分析2例腹腔镜胆囊切除术后胆漏患者的临床资，结合相关文献对治疗进行讨论。结果2例患者均经再次腹腔镜手术治疗痊愈，1例经腹腔镜探查术置腹腔引流后治愈，1例胆囊管钛夹脱落，镜下缝扎胆囊管治愈。结论腹腔镜胆囊切除术后发生胆漏，再次腹腔镜探查治疗疗效确切，创伤小，恢复快，值得临床应用。