Vagianos C, Polydorou A, Karatzas T, Vagenas C, Stavropoulos M, Androulakis J
Department of Surgery, University of Patras, Patras Medical School, Greece.
HPB Surg. 1992;6(2):115-20; discussion 120-4. doi: 10.1155/1992/58436.
A 25-year old man presented with a high output external biliary fistula after an operation for a giant hydatid cyst of the liver. Endoscopic sphincterotomy was inadequate to close the fistula. A nasobiliary tube was selectively inserted into the leaking hepatic duct and bile was continuously aspirated. The fistula and the residual cavity healed completely. Details of the patients' management using this alternative technique, are discussed.
一名25岁男性在接受肝巨大包虫囊肿手术后出现高流量外部胆瘘。内镜括约肌切开术未能成功闭合瘘管。将一根鼻胆管选择性地插入渗漏的肝管，并持续抽吸胆汁。瘘管和残余腔完全愈合。本文讨论了使用这种替代技术对该患者的治疗细节。
