关键词: 腹腔镜, 胆总管结石, 一期缝合;胆漏

Abstract:

【Abstract】 Objective To explore the risk factors of bile leakage after laparoscopic choledochotomy with exploration and primary suture. Methods The clinical data of 19 patients with bile leakage and 52 without bile leakage after laparoscopic choledochotomy with exploration and primary suture were studied retrospectively..And the related risk factors of bile leakage were analyzed with unconditional multivariate Logistic regression analysis. Results Bile leakage after primary suture were associated with the body metabolic index,.manner of common bile duct incision,.level of serum albumin and diabetes, which were statistically significant differences between two group(P<0.05) and the improper manner of common bile duct incision was the most important factor. Conclusion The strict indication control and the correct surgical procedure are the keys to reduce bile leakage occurrence after primary suture on common bile duct.

Key words: Laparoscope, Common bile duct stones, Primary suture, Bile leakage