Sava P, Camelot G, Kahn J, Gillet M
J Chir (Paris). 1978 Dec;115(12):663-71.
The authors report eight cases of operative trauma to the common bile duct; seven patients were sent up for reoperation often during the late stages following an attempt at immediate or secondary repair. Emphasis was placed on the interest of extensive resection of the stenosis and wide and high opening of the common bile duct for construction of the bilio-jejunal anastomosis, and furthermore the late risk of onset of portal hypertension requiring portacaval anastomosis, finally the possible degradation of the good initial results requiring difficult reoperations.
作者报告了8例胆总管手术创伤病例；7例患者在尝试进行一期或二期修复后的晚期经常被送去再次手术。重点强调了广泛切除狭窄段以及胆总管广泛高位开口以构建胆肠吻合术的重要性，此外还强调了晚期发生门静脉高压需要进行门腔静脉吻合术的风险，最后还提到了良好的初始结果可能会因困难的再次手术而恶化。
