Prevention of bile leakage after laparoscopic primary suturing of common bile duct by transabdominal placement of nasal bile duct
10.3760/cma.j.issn.1007-8118.2020.02.004
- VernacularTitle:腹腔镜胆总管一期缝合联合经腹置入鼻胆管在术后胆漏预防中的作用
- Author:
Shenglong ZHANG
1
;
Anping CHEN
;
Yunsheng SUO
;
Jinheng LIU
Author Information
1. 成都市第二人民医院肝胆外科 610017
- Keywords:
Choledocholithiasis;
Laparoscope;
Choledochoscope;
Nasobiliary duct
- From:
Chinese Journal of Hepatobiliary Surgery
2020;26(2):100-102
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the advantages of laparoscopic primary suturing of common bile duct plus transabdominal nasobiliary drainage in reducing the rate of bile leakage.Methods The clinical data of laparoscopic primary suturing of common bile duct with or without nasal bile duct drainage in Second People's Hospital of Chengdu were analyzed retrospectively.Results During laparoscopic common bile duct exploration,286 patients were treated by primary suturing without nasobiliary drainage (group without drainage),including 32 (11.2％) patients with bile leakage;350 patients were treated by primary suturing with transabdominal nasobihary drainage (group with drainage),including 11 (3.1％) patients with bile leakage.The incidences of bile leakage of the two groups were significantly different (P ＜ 0.05).When the diameter of the common bile duct was less than 11.0 mm,the incidence of bile leakage in the non-drainage group and the drainage group were 18.5％ (20/108) and 2.1％ (3/143),respectively.The incidence in the drainage group was significantly lower than that in the non-drainage group,and the difference was statistically significant (P ＜ 0.05).When the diameter of common bile duct was larger than 11.0 mm,there was no significant difference in the incidences of bile leakage between the two groups (P ＞ 0.05).Conclusions The choice after laparoscopic primary suturing of common bile duct between with or without nasobiliary drainage should be determined according to the diameter of common bile duct.When a common bile duct diameter of less than 11.0 mm,nasobiliary drainage is recommended to reduce the rate of bile leakage.
