Ojima Hitoshi, Yamauchi Hayato, Yamaki Ei, Idetu Akihito, Hosouchi Yasuo, Nishida Yasuji, Kuwano Hiroyuki
Department of Surgery, Gunma Prefecture Saiseikai-Maebashi Hospital, Gunma, Japan.
Hepatogastroenterology. 2007 Jan-Feb;54(73):28-31.
BACKGROUND/AIMS: Cystic duct leakage (CDL) is one of the most common complications after laparoscopic cholecystectomy (LC). We retrospectively examined 3 patients with CDL that were treated with endoscopic stenting.
From January 1995 to December 2004, 1127 LCs were performed. CDL occurred in 3 cases and a closed suction drain was inserted in 2 of those 3 cases.
The duration from LC to endoscopic retrograde cholangiopancreatography (ERCP) was 2 to 4 days, and the patient without the drain experienced the longest waiting time. Hospital stay was almost identical for all 3 cases. There was an immediate improvement after the procedure.
It is important to employ accurate technical surgical procedures to prevent complications. ERCP with stent placement and sphincterotomy is an easy and safe diagnostic and therapeutic procedure for CDL, and has a high success rate in resolving leaks.
背景/目的：胆囊管渗漏（CDL）是腹腔镜胆囊切除术（LC）后最常见的并发症之一。我们回顾性研究了3例接受内镜支架置入治疗的CDL患者。
1995年1月至2004年12月，共进行了1127例LC手术。3例发生CDL，其中2例插入了闭式吸引引流管。
从LC到内镜逆行胰胆管造影（ERCP）的时间为2至4天，未放置引流管的患者等待时间最长。3例患者的住院时间几乎相同。术后症状立即改善。
采用准确的手术技术预防并发症很重要。ERCP联合支架置入和括约肌切开术是一种简便、安全的CDL诊断和治疗方法，解决渗漏的成功率很高。
