胆囊切除术后腹腔引流管胆汁渗漏的自发闭合:系统回顾。

Muhammad Tahir Ghani, Hafiz Muhammad Ijaz Ul Haq, Ibad Ur Rehman, Nain Sukh
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引用次数: 0

摘要

据报道,胆囊切除术后腹腔引流管中的胆汁渗漏可自行闭合,无需任何干预。本系统综述的目的是找出可自发闭合的胆漏的数量和来源,以及与这种闭合相关的各种因素。根据系统综述和荟萃分析首选报告项目(PRISMA)指南,对 PubMed、谷歌学术和 Cochrane 进行了系统检索。最终有 10 项研究被纳入综述。其中五项来自印度,两项来自巴基斯坦,墨西哥、尼泊尔和罗马尼亚各一项。据报道,自发闭合的最大胆汁量为每天 500 毫升,闭合时间为七天。总的来说,66.6%的胆漏病例是通过腹腔镜手术治疗的。胆囊切除术后腹腔引流管中的胆汁渗漏每天最多为500毫升,如果患者没有严重的胆管损伤和腹膜炎,一周后就会自动闭合。关键字胆汁渗漏、腹腔引流管、内镜逆行胰胆管造影。
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Spontaneous Closure of Bile Leak in Abdominal Drain after Cholecystectomy: A Systematic Review.

Bile leakage in abdominal drain after cholecystectomy is reported to close spontaneously without any intervention. The aim of this systematic review was to find out the amount and source of bile leaks that can be closed spontaneously and various factors associated with this closure. A systematic search of PubMed, Google Scholar, and Cochrane under preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was performed. Ten studies were finally included in the review. Five studies were found from India, two from Pakistan, and one each from Mexico, Nepal, and Romania. Maximum volume of bile reported to close spontaneously was 500 ml per day and took seven days to close. Overall 66.6% cases of bile leaks were laparoscopically operated. Bile leakage in abdominal drain after cholecystectomy up to 500 ml per day closes spontaneously in a week time provided patient has no major ductal injury and peritonitis. Key Words: Bile leakage, Abdominal drain, Endoscopic retrograde cholangiopancreatography.

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