Abstract:
Objective
To evaluate the bacterial spectrum of bile in patients with intrahepatic stone and its surgical significance associated with postoperative septic complications.
Methods
One hundred and sixty-two consecutive intrahepatic stone patients who had detailed bacterial culture data and underwent liver resection from August 2008 to March 2009 were reviewed retrospectively.The bacterial spectrum of bile and the postoperative septic complications were evaluated.And the risk factors related to postoperative septic complication were identified by Logistic regression.
Results
The bile bacterial culture positive rate was 77.2%.The most three predominant bacteria flora were Escherichia Coli,Enterococcus feacalis,Pseudomonas spp.There was no surgical mortality and the surgical septic morbidity was 29.0%.Wound infection,bile leak and peritoneal infection were the three most common postoperative septic complications. Bile bacterial culture positive and operating time were the independent risk factors linked to postoperative septic complication.
Conclusions
Escherichia Coliis the predominant bacteria of bile in intrahepatic stone patients.Bile bacterial culture positive is one of the independent risk factors associated with postoperative septic complications.
Key words:
Intrahepaticstone；Bacteria；Bile；Complication
Shao-qiang LI, Li-jian LIANG, Yun-peng HUA, Bao-gang PENG, Shun-jun FU, Qian WANG. Bacterial spectrum of bile in patients with intrahepatic stone and its clinical significance[J]. Chinese Archives of General Surgery(Electronic Edition), 2009, 03(04): 313-316.