Yoshimi Fuyo, Ikeda Mami, Oka Daiji, Asato Yuji
Department of Surgery, Ibaraki Prefectural Central Hospital and Cancer Center, 6528 Koibuchi, Tomobe-machi, Ibaraki 309-1793, Japan.
Hepatogastroenterology. 2002 Sep-Oct;49(47):1213-5.
Benign or malignant stricture of extrahepatic bile ducts may result when small intrahepatic bile ducts are anastomosed to the jejunal loop after resection of extrahepatic bile ducts, hepatic parenchyma, and intrahepatic bile ducts. We applied a parachute technique, which has been used for fine vascular anastomosis, to hepaticojejunostomy in eight patients with either extrahepatic bile duct carcinoma or intrahepatic cholangiocellular carcinoma. One to four small bile ducts were anastomosed to the jejunal loop. No patient experienced a complication due to this anastomosis. Postoperative elevation of the serum bilirubin was transient, and all patients were discharged within 36 days after surgery. Although the follow-up period in this series is not yet long enough to evaluate the long-term outcome of this technique, the ease of the hepaticojejunostomy and good short-term results warrant farther clinical investigation of this technique.
当肝外胆管、肝实质和肝内胆管切除后，若将小的肝内胆管与空肠袢吻合，可能会导致肝外胆管良性或恶性狭窄。我们将一种已用于精细血管吻合的降落伞技术应用于8例肝外胆管癌或肝内胆管细胞癌患者的肝空肠吻合术中。将1至4根小胆管与空肠袢吻合。没有患者因这种吻合术出现并发症。术后血清胆红素升高是短暂的，所有患者均在术后36天内出院。尽管本系列的随访期还不够长，无法评估该技术的长期效果，但肝空肠吻合术的简便性和良好的短期结果值得对该技术进行进一步的临床研究。
