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Use of White test to reduce bile leakage in complicated hepatic echinococcosis
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- Author:
- No author available
- Journal Title:
- World Chinese Journal of Digestology
- Issue:
- 13
- DOI:
- 10.11569/wcjd.v28.i13.553
- Key Word:
- White test;内镜逆行胰胆管造影;腹腔镜;肝包虫病;胆漏
Abstract： 背景 复杂性肝包虫病具有多发、残腔大,继发胆汁瘘等特点,术后并发胆漏的防治重心应倾向于术中对胆漏点的清除.腹腔镜下术中若胆道系统给与注射肉眼可见的显影剂,有利于术者对胆漏点进行清除.目的 分析复杂肝包虫病患者不同术式术后并发症探讨White test+内镜逆行胰胆管造影(endoscopic retrograde cholangiopancreatography, ERCP)+腹腔镜术式在此类患者中的应用.方法 回顾性分析2017-01/2019-01诊断纳入复杂肝包虫病并经手术治疗的患者43例,其中开腹组15例(A组),术前行ERCP+腔镜组14例(B组),White test+ERCP+腔镜组14例(C组),分析比较三组术后临床效果.结果 行White test+ERCP+腔镜组术后短期残腔胆漏发生率明显低于开腹组,White test+ERCP+腔镜组及ERCP+腔镜组术后远期(3 mo)胆漏发生率明显低于开腹组.结论 复杂肝包虫病患者行White test+ERCP+腔镜治疗术,可有效预防术后胆漏的发生.
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