ENDOSCOPIC TREATMENT OF BILIARY LEAKAGE AFTER LAPAROSCOPIC CHOLECYSTECTOMY

被引：19
|
作者：
RAIJMAN, I
CATALANO, MF
HIRSCH, GS
MACFADYEN, B
BROUGHAN, TA
CHUNG, RS
SIVAK, MV
机构：
[1] UNIV TEXAS,HLTH SCI CTR,DEPT SURG,HOUSTON,TX 77030
[2] CLEVELAND CLIN FDN,DEPT GASTROENTEROL,CLEVELAND,OH 44195
[3] CLEVELAND CLIN FDN,DEPT SURG,CLEVELAND,OH 44195
来源：
ENDOSCOPY | 1994年 / 26卷 / 09期
关键词：
D O I：
10.1055/s-2007-1009086
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Laparoscopic cholecystectomy is an effective and safe treatment for uncomplicated symptomatic cholelithiasis. However, biliary tract injury may be more common with this procedure than with open cholecystectomy. We have encountered 17 patients with a biliary leak among 465 patients undergoing laparoscopic cholecystectomy, the diagnosis being established by clinical and radiographic parameters. The most common site of leakage was the cystic duct stump. Patients underwent endoscopic sphincterotomy and biliary stent placement, with an overall success rate of 96 %. No morbidity or mortality related to the endoscopic procedures was encountered. We conclude that biliary leakage after laparoscopic cholecystectomy is uncommon. When it occurs, it can be treated safely and efficaciously by endoscopic means.
引用
收藏
页码：741 / 744
页数：4
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