Analysis of risk factors of bile leakage in patients after laparoscopic common bile duct exploration and primary suture
10.3760/cma.j.issn.1673-4203.2017.11.005
- VernacularTitle:腹腔镜胆道探查一期缝合术后胆漏的危险因素分析
- Author:
Yan'an HE
1
;
Yu CAI
;
Huaming TANG
;
Ligang ZHU
;
Qing CHEN
;
Yonghong HE
Author Information
1. 江油市人民医院肝胆外科
- Keywords:
Laparoscopy;
Common bile duct;
Suture techniques;
Risk factors;
Bile leakage
- From:
International Journal of Surgery
2017;44(11):733-736
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of bile leakage in patients with laparoscopic common bile duct exploration and primary suture for the purpose of providing clues for reducing occurrence of bile leakage.Methods The clinic data of 193 choledocholithiasis patients with laparoscopic common bile duct exploration and primary suture from October 2012 to March 2017 were retrospective analysed.All patients were divided into bile leakage group (23 patients) and non-bile leakage group (170 patients).Risk factors influencing the incidence of bile leakage were determined by analyzing 21 relevant factors with one-way analysis of variance and Logistic multivariate regression analysis.Count data and ordinal data was expressed as frequency or a percentage.Chi-square test was used to compare with groups of count data,rank-sum test was for comparison between groups of ordinal data,and Logistic regression was for multivariate analysis.Results Among all the patients,the incidence of bile leakage was 11.92％ (23/193).The results of univariate analysis revealed that cholangitis,jaundice,bile characteristics,muddy stone,number of stones,incarcerated stone,open and close peristalsis of duodenal papilla were correlated with bile leakage (x2/Z =2.537,2.122,81.834,50.709,13.242,26.958,90.207,P ＜0.05).The result of multivariate analysis revealed that bile characteristics,muddy stone,incarcerated stone,open and close peristalsis of duodenal papilla was correlated with bile leakage (Wals =14.002,8.899,6.577,5.582,P ＜0.05).Conclusion Bile characteristics,muddy stone,incarcerated stone,open and close peristalsis of duodenal papilla were main risk factors of bile leakage in patients with laparoscopic common bile duct exploration and primary suture.
