Chinese Journal of Modern Operative Surgery  2018, Vol. 22 Issue (2): 106-108 DOI: 10.16260/j.cnki.1009-2188.2018.02.006 |
| Clinical Research |
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| Strategies to Reduce Complications of Laparoscopic Reoperation of the Biliary Tracts (22 Cases of ClinicalAnalysis) |
| MAO Sheng-ming, HE Hong-su, LIN Jian-qing， XIAO Qiang , LIU Yue, CHEN Wen-zhe, NI Ya-an
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| Department?of?Hepatobiliary?and?Pancreatic?Surgery,?the?Sixth?Hospital?Affiliated?to?Guangzhou?Medical?University,?Qiangyuan?511518,?Guangdong,?China |
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Abstract Objective To explore the operative technique to improve the safety of laparoscopic reoperation of the biliary tracts and to reduce the incidence of surgical complications. Methods Laparoscopic reoperation of the biliary tracts was performed on 22 cases of choledocholithiasis. Clinical data of 22 cases of laparoscopic bile duct surgery were reviewed retrospectively. Results Twenty-two cases of laparoscopic cholangiotomy were performed successfully, and two cases converted to open surgery. The conversion rate was 9%. Operation time was (132±35)min. Intraoperative blood loss was (93±32) ml, and no blood transfusion was performed in 22 patients. All patients were discharged successfully, and the length of hospital stay was (11.0±4.1) d. There were 2 cases(9%) suffered from complications, including one case of bile leakage, who was self-healing after 8 days of continuous drainage, and one case of the infection of the subxiphoid puncture. There were no biliary stricture and residual stones after the operation. Conclusions Laparoscopic reoperation of the biliary tracts is safe and effective. The operation should be performed by a high-year biliary surgeon with superior laparoscopic skills. Comprehensive analysis of the history and clinical data of patients with a detailed operation plan, careful operation, intraoperative various anatomical marks of biliary system and accurate recognition and correct grasp of the timing of the conversion of open surgery are the main factors to ensure the safety of the operation.
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Published: 14 August 2018
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Corresponding Authors:
MAO Sheng-ming
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