Abdominal sinus-tract related complications and its treatment: A report of 74 cases
DAI Yi
ZHAO Guo-gang
Abstract：Objective To explore complications and treatment of abdominal sinus-tract for choledochoscopic exploration. Methods The clinical data of 74 cases who have sinus-tract complications 76 times from January 2013 to December 2013 in Department of Hepatobiliary Surgery, Affiliated Suining Central Hospital of North Sichuan Medical College and Department of General Surgery, Affiliated Hospital of North Sichuan Medical College were analyzed retrospectively. Results Among 74 cases, there were 55 cases who's drainage were displaced by accident. Sinus-tract ruptured in 7 cases. Massive hamorrhage from sinus-tract occurred in 3 cases. Sinus-intestine fistula occurred in 4 cases. Stone was incarcerated in sinus-tract in 1 case. Sinus-tract was obviously tortuous in 3 cases. The angle between sinus-tract and lower bile tube was too small in 4 cases. Among 76 times, 56 times of sinus-tract were retained. Those patients had finished choledochoscopic exploration and stones extraction. A total of 20 times of sinus-tract had occlusion because of sinus related complication and the operation of choledochoscopic treatment was failed. One case was performed laparotomy due to bile peritonitis. Conclusion Abdominal sinus-tract related complications are important reasons which would cause interruption of postoperative choledochoscopy for biliary stone extraction. Certain procedures could take to retain sinus-tract and to complete cholelithiasis treatment. But,prevention is more important than treatment.
Keywords：choledochoscopeabdominal sinus-tractcomplication
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1333-1335 )