Hepatobiliary Surgery Bile Leakage Can Occur Time And Related Research Progress Occurred Prevention Methods

Some scholars【1】in the study pointed out that bile leakage, bleeding,infection and postoperative retrograde biliary obstructive cholangitis fourcomplications, postoperative bile leakage highest proportion than thecolumn, reached35.3%.Bile leakage causes of morbidity:1.differentsurgical approach, especially for complex operations, longer surgery；2.deficiencies intraoperative surgical operation by itself；3.preoperativeanatomic variation is not clear, nor surgery to discover；4.The patient’s ownpreoperative been associated with metabolic or wasting disease；5.veryspecial one complication——Liver fluke disease,the disea-se situationdownstream merger partial liver resection, postoperative bile leakage thanthe column was significant-ly higher than that merge this disease. Bileleakage caused by different reasons, also in the time of occurrence of thedifference. In most researchers concluded that the inciden-ce of bileleakage often occurs after a short time. Some scholars【2】have pointed out,the common bile duct exploration+T-tube drainage, two weeks pulled theT-tube is also the case when patients with bile leakage. Bile leakage occurs,the treatment is relatively well recognized. The vast majority of patientswith bile leakage can be more satisfactory therapeutic effect bystrengthen-ing the abdominal drainage and other conservative treatmentapproach. Some scholars have already experimented with endoscopic approach, looking through the duodenal papilla retrograde leak mouth, anduse of biliary stents and other items, to play a role in sealing the mouthplugging, also made a good therapeutic effect.