肝包虫病部分囊肿切除术术后胆漏的预防：业内诀窍
Prevention of Postoperative Bile Leak in Partial Cystectomy for Hydatid Liver Disease: Tricks of the Trade.
作者信息
Peker Kivanc Derya, Gumusoglu Alpen Yahya, Seyit Hakan, Kabuli Hamit Ahmet, Salik Aysun Erbahceci, Gonenc Murat, Kapan Selin, Alis Halil
机构信息
General Surgery, Dr. Sadi Konuk Training and Research Hospital, Zuhuratbaba Mh, Tevfik Saglam Cad. No: 11, 34147, Bakirkoy, Istanbul, Turkey.
Interventional Radiology, Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.
出版信息
J Gastrointest Surg. 2015 Dec;19(12):2228-34. doi: 10.1007/s11605-015-2970-5. Epub 2015 Oct 5.
BACKGROUND
The presence of postoperative bile leak is the major outcome measure for the assessment of operative success in partial cystectomy for hydatid liver disease. However, the optimal operative strategy to reduce the postoperative bile leak rate is yet to be defined.
METHODS
Medical records of patients who underwent partial cystectomy for hydatid liver disease between January 2013 and January 2015 were reviewed in this retrospective analysis. All patients were managed with a specific operative protocol. The primary outcome measure was the rate of persistent postoperative bile leak. The secondary outcome measures were the morbidity and mortality rate, and the length of hospital stay.
RESULTS
Twenty-eight patients were included in the study. Only one patient (3.6 %) developed persistent postoperative bile leak. The overall morbidity and mortality rate was 17.8 and 0 %, respectively. The median length of hospital stay was 5 days.
CONCLUSION
Aggressive preventative surgical measures have led to low persistent bile leak rates with low morbidity and mortality.
背景
术后胆漏的存在是评估肝包虫病部分囊肿切除术手术成功与否的主要结果指标。然而，降低术后胆漏发生率的最佳手术策略尚未明确。
方法
本回顾性分析纳入了2013年1月至2015年1月期间接受肝包虫病部分囊肿切除术患者的病历。所有患者均采用特定的手术方案进行治疗。主要结果指标是持续性术后胆漏的发生率。次要结果指标是发病率、死亡率及住院时间。
结果
28例患者纳入本研究。仅1例患者（3.6%）出现持续性术后胆漏。总体发病率和死亡率分别为17.8%和0%。中位住院时间为5天。
结论
积极的预防性手术措施导致持续性胆漏发生率低，发病率和死亡率也低。
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