Diagnosis and treatment tactics of postoperative bile peritonitis

摘要

Complex method of diagnosis and surgical treatment of 131 patients with postoperative bile peritonitis are analyzed. The main causes of peritonitis were technical and tactical medical errors and low functional reserve of liver. Laparoscopic, ultrasonic examinations and detection of endogenous intoxication degree are used for early diagnosis of this complication. Urgent relaparotomy with liquidation of peritonitis source, external drainage of bile ducts and small intestine, sanation and drainage of abdominal cavity is the main method of postoperative peritonitis treatment.