腹腔镜术中经腹留置鼻胆管引流125例

腹腔镜术中经腹留置鼻胆管引流125例

胡铤;陈安平;王佳牧;索运生;易斌

【期刊名称】《医学信息》 【年(卷),期】2016(029)006

【摘要】Objective To summarize the experience with the intraoperative endoscopic nasobiliary drainage transabdominally during the course of operation of laparoscopy (LENBD). Methods From October 2013 to February

2015,

there

were

125

cases

undergoing

LENBD

transabdominally, involving choledochotomy, electrohydralic lithothipsy, dilation and incision on the stenosis of papillary, bile duct drainage through the tranoral endoscopic nasobiliary drainage and primary closure of duct incision. Results The procedure was successful in 112 cases (89.6%) of biliary drainage out of 125 cases. Nasal bile duct intubation failed in 5 cases (4.0%), wherein the transfer for ureteral catheter drainage of bile duct in 2 cases, T tube drainage in 1 cases, bile duct drainage in 2 cases give up. Nasobiliary discount cause no liquid outflow in 2 cases (1.6%). In 3 cases (2.4%) of nasal bile duct early detachment, and lead to obstructive jaundice after operation in 1 cases that through to place again the tranoral endoscopic nasobiliary drainage. The bile leakage was occurred in 1 cases (0.8%) with primary closure of duct incision and cured by patent drainage. There were 2 cases (1.6%) got a slight pancreatitis after duodenoscopic papillotomy .