Sandblom P, Tabrizian M, Rigo M, Fluckiger A
Surg Gynecol Obstet. 1975 Mar;140(3):425-32.
To repair defects in the common bile duct, part of the gallbladder and the cystic duct may be used as a pedicled graft. This has the advantage of an independent blood supply and a related mucosal lining. The method is illustrated by four patients who had excellent primary and short term results. In two patients, the defect was due to large cholecystocholedochal fistulas caused by migrating large gallstones. In one patient with marked stenosis of the duct, the defect occurred when the stenosis was opened through a longitudinal incision. The fourth patient had a large duodenal ulcer that penetrated into the common duct, causing a defect that could not be closed by suture. A definite evaluation of the procedure must await a longer period of follow-up study.
为修复胆总管缺损，可将部分胆囊及胆囊管用作带蒂移植物。这样做具有血供独立及相关黏膜衬里的优势。四名患者的情况说明了该方法，他们均取得了良好的初期及短期效果。两名患者的缺损是由游走性大结石导致的巨大胆囊胆总管瘘引起的。一名胆管明显狭窄的患者，在通过纵向切口打开狭窄处时出现了缺损。第四名患者有一个巨大十二指肠溃疡，溃疡穿透至胆总管，造成了无法通过缝合闭合的缺损。对该手术的确切评估必须等待更长时间的随访研究。
