Himpens J, Rogge F, Leman G, Sonneville T, Nelis P
Department of Thoratcic, Abdominal and Minimally Invasive Surgery, Saint Blasius General Hospital, Dendermonde 9200, Belgium.
Surg Endosc. 2002 May;16(5):869. doi: 10.1007/s004640042035. Epub 2002 Feb 28.
We describe a laparoscopic technique of pyloric exclusion with gastroenterostomy and common bile duct T tube insertion for obvious perforation at endoscopic retrograde cholangiopancreatography with papillotomy. The patient was operated on immediately after diagnosis of the lesion. The postoperative sequellae were very comparable to those of elective laparoscopic common bile duct exploration. We believe this approach is interesting, especially in the current era of frequent litigation.
我们描述了一种用于内镜逆行胰胆管造影术乳头切开术后明显穿孔的幽门旷置加胃肠吻合术及胆总管T管置入的腹腔镜技术。患者在病变诊断后立即接受手术。术后后遗症与择期腹腔镜胆总管探查术的后遗症非常相似。我们认为这种方法很有意义，尤其是在当前诉讼频发的时代。
