Application of percutaneous biliary drainage in the treatment of post-operative bile leakage after liver rupture: A case report.

IF 1 4区 医学 Q3 SURGERY
Jinlong Chen, Zhikuan Wang, Lixin Zhang, Xi Chen, Yuanyuan Liu, Hong Chen, Xiaoqiang Tong, Yanchao Dong
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引用次数: 0

Abstract

Abstract: Post-operative bile leakage (POBL) is a serious complication following hepatobiliary surgery, with potentially life-threatening consequences if left untreated. This article presents a successful case of POBL management without surgical intervention. A 31-year-old male, diagnosed with bile leakage before hospitalisation, underwent percutaneous biliary drainage (PTBD) to address bilomas. Follow-up after 3 months indicated biloma atrophy and POBL healing but revealed bile duct stenosis. The patient received a larger biliary drainage tube, and after 1 month, the biloma and tube were removed. A 1-year follow-up confirmed the patient's excellent health. This case underscores the safety and efficacy of PTBD for managing POBL, offering a non-invasive alternative for patients with this complication. PTBD presents a viable treatment option for POBL cases, minimising the need for surgical interventions and their associated risks.

应用经皮胆道引流术治疗肝破裂术后胆漏:病例报告。
摘要:术后胆汁渗漏(POBL)是肝胆手术后的一种严重并发症,如果不及时处理,可能会危及生命。本文介绍了一例无需手术干预即可成功处理 POBL 的病例。一名 31 岁的男性在住院前被诊断为胆漏,接受了经皮胆道引流术(PTBD)来治疗胆囊瘤。3 个月后的随访显示胆囊肿萎缩,POBL 愈合,但发现胆管狭窄。患者接受了一个较大的胆道引流管,1 个月后,胆管瘤和引流管被移除。1 年的随访证实患者健康状况良好。该病例强调了 PTBD 治疗 POBL 的安全性和有效性,为这种并发症的患者提供了一种非侵入性的选择。PTBD 为 POBL 病例提供了一种可行的治疗方案,最大程度地减少了手术干预的必要性及其相关风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
151
审稿时长
36 weeks
期刊介绍: Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.
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