Ong Evan S, Helton W Scott, Jho David, Espat N Joseph
Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Chicago, IL 60612, USA.
J Gastrointest Surg. 2006 Feb;10(2):202-6. doi: 10.1016/j.gassur.2005.07.004.
Although laparoscopic cholecystectomy has revolutionized the surgical approach to patients with gallbladder disease, it has also brought a marked increase in the incidence of complex and serious bile duct injuries. Many of these major injuries represent a major technical challenge for even the most seasoned hepatobiliary-trained surgeon. Herein, we present a case outlining the algorithmic treatment approach for delayed-presentation complex biliary injury and report on the novel use of small intestinal submucosal biomaterial for surgical site control in the staged repair of a complex biliary injury (Strasberg E4) after laparoscopic cholecystectomy.
尽管腹腔镜胆囊切除术彻底改变了胆囊疾病患者的手术方式，但它也显著增加了复杂和严重胆管损伤的发生率。即使对于经验最丰富的接受过肝胆外科培训的外科医生来说，许多此类重大损伤也是一项重大的技术挑战。在此，我们介绍一例病例，概述延迟出现的复杂胆管损伤的算法化治疗方法，并报告在腹腔镜胆囊切除术后复杂胆管损伤（Strasberg E4型）的分期修复中，小肠黏膜下生物材料在手术部位控制方面的新应用。
