Analysis of risk factors for bile leakage after laparoscopic common bile duct exploration with primary closure
10.11659/jjssx.06E024022
- VernacularTitle:腹腔镜下胆总管探查术一期缝合后胆漏的危险因素分析
- Author:
Wu GUO
1
;
Jun-Jian LIU
;
Hai-Tao SHANG
;
De-Lin ZHANG
;
Xi-Bo ZHANG
;
Zhong-Lian LI
Author Information
1. 天津市海河医院普通外科,天津 300222
- Keywords:
laparoscope;
primary closure of common bile duct;
bile leakage;
risk factors;
choledocholithiasis
- From:
Journal of Regional Anatomy and Operative Surgery
2024;33(10):844-848
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors for bile leakage after laparoscopic common bile duct exploration(LCBDE)with primary closure.Methods The clinical data of 560 patients with choledocholithiasis who underwent LCBDE with primary closure in Tianjin Hospital of Integrated Traditional Chinese and Western Medicine from September 2021 to September 2023 were retrospectively analyzed,and the patients were divided into the bile leak group and the non-bile leak group according to the occurrence of postoperative bile leakage.The risk factors affecting the occurrence of postoperative bile leakage were analyzed by multivariate analysis.Results A total of 64 cases(11.4% )experienced varying degrees of bile leakage,including 55 cases of grade A bile leakage,7 cases of grade B,and 2 cases of grade C.The thin common bile duct(OR=0.07,P<0.001),history of hypertension(OR=4.56,P<0.001),and high BMI(OR=1.17,P=0.002)were the risk factors for postoperative bile leakage in patients with choledocholithiasis.Conclusion Patients with thin common bile duct,hypertension and obesity are more likely to occur postoperative bile leakage.Patients with choledocholithiasis who have the above high-risk factors should be cautious in choosing LCBDE with primary closure.
