WANG Yiben , ZENG Xiaobing , WU Chi , ZHU Yu , LIU Limin.
  • Central Hospital of Baoshan, Shanghai 201900, China;
Primary closure of the common bile duct Bile leakage
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【Abstract】ObjectiveTo explore risk factors of bile leakage after primary ductal closure following choledochotomy.
MethodsA retrospective clinical analysis was made in 148 cases of Ttube drainage and 154 cases of primary common bile duct suture following choledochotomy admitted to our hospital from January 1999 to June 2003.
Results Postoperative bile leakage was seen in 11 patients of the group with Ttube drainage and in 16 patients of the group with primary suture respectively, there was no significant difference(P gt;0.05).In the group with primary common bile duct suture,the occurrence of bile leakage was relative with hyperglycemia(P lt;0.05)，hypoproteinemia (P lt;0.01)，bile duct repeated sutures(P lt;0.01)and positive bacterial culture in bile(P lt;0.05). Bile leakage was not relative with elder age (P gt;0.05).
Conclusion It is the key factors,including chosing appropriate patients, intraoperative special examination, careful manipulation and effective medical treatment that can reduce the morbidity of bile leakage.

Citation： WANG Yiben,ZENG Xiaobing,WU Chi,ZHU Yu,LIU Limin.. Analysis of Bile Leakage after Primary Ductal Closure Following Choledochotomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(4): 351-352下转360. doi: Copy