Petrescu C, Popovici G, Cerchéz E
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Jan-Feb;24(1):27-33.
The specific risks of certain procedures applied in surgery of the bile ducts and duodenal ulcers are discussed (Lehey catheterism, retrograde cholecystectomy with primary severing of the cystic duct for cholangiography). Three accidental lesions of the common bile duct were successfully solved by anastomosis of the left hepatic, right hepatic and respectively commen hepatic duct with the excluded jejunal loop by the Roux-Y method. The importance of intraoperative cholangiohepatography for established immediately the biliary areas that have to be shunted into the excluded loop, is emphasized.
讨论了胆管和十二指肠溃疡手术中某些操作的特定风险(莱希导管插入术、为胆管造影而先行切断胆囊管的逆行胆囊切除术)。通过左肝管、右肝管以及肝总管分别与经Roux-Y法排除的空肠袢吻合,成功解决了3例胆总管意外损伤。强调了术中胆管肝内造影对于立即确定必须分流至排除空肠袢的胆管区域的重要性。