Endoscopic nasobiliary drainage in the treatment of bile leakage after laparoscopic cholecystectomy
10.3760/cma.j.issn.1673-4904.2014.14.003
- VernacularTitle:鼻胆管引流治疗腹腔镜胆囊切除术后胆漏
- Author:
Zongge QIN
;
Fa ZHANG
- Publication Type:Journal Article
- Keywords:
Cholangiopancreatography,endoscopic retrograde;
Endoscopic nasobiliary drainage;
Cholecystectomy,laparoscopic;
Bile leakage
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(14):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the efficacy of endoscopic retrograde cholangio-pancreatography (ERCP) and endoscopic nasobiliary drainage (ENBD) in the diagnosis and treatment of bile leakage after laparoscopic cholecystectomy (LC).Methods The clinical data of 9 patients with bile leakage after LC were analyzed retrospectively.Results The procedure of ERCP was successful in all 9 patients.Bile leakage was treated successfully by ENBD in 8 patients with no further complication,and 1 patient was treated surgically because of biliary ductal injury.Conclusions ERCP is recommended as a safe and efficacious option to detect and treat bile leakage after LC.ENBD combined with percutaneous drainage of abdominal collections can cure bile leakage after LC.