感染的胆汁如何影响接受腹腔镜胆囊切除术患者的术后病程？
How does infected bile affect the postoperative course of patients undergoing laparoscopic cholecystectomy?
作者信息
Gold-Deutch R, Mashiach R, Boldur I, Ferszt M, Negri M, Halperin Z, Lin G, Sackier J, Halevy A
机构信息
Department of Surgery B, Assaf Harofeh Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Zerifin, Israel.
出版信息
Am J Surg. 1996 Sep;172(3):272-4. doi: 10.1016/S0002-9610(96)00105-5.
OBJECTIVES
To assess the rate of infected bile in patients undergoing laparoscopic cholecystectomy (LC) and to study the influence on the postoperative infective complications in this group of patients.
METHODS
Bile samples of 247 patients undergoing LC were collected and cultured for aerobic and anaerobic bacteria. All patients were given prophylactic antibiotics.
RESULTS
The overall rate of infected bile was 12.8% (56 positive cultures); of these, 54 were aerobic and 2 anaerobic bacteria. Only 2 patients developed infection at the umbilical site, and in both, the bile was sterile. None of the patients with positive bile cultures developed any signs of infection during a mean follow-up period of 26 months.
CONCLUSION
The overall rate of septic complications following LC is extremely low, and at least in our study no correlation was found between infected bile and septic complications.
目的
评估接受腹腔镜胆囊切除术（LC）患者的胆汁感染率，并研究其对该组患者术后感染性并发症的影响。
方法
收集247例行LC患者的胆汁样本，进行需氧菌和厌氧菌培养。所有患者均给予预防性抗生素。
结果
胆汁感染总发生率为12.8%（56例培养阳性）；其中，54例为需氧菌，2例为厌氧菌。仅2例患者脐部发生感染，且二者胆汁均无菌。胆汁培养阳性的患者在平均26个月的随访期内均未出现任何感染迹象。
结论
LC术后感染性并发症的总发生率极低，至少在我们的研究中，未发现胆汁感染与感染性并发症之间存在相关性。
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