Aliev S A
Vestn Khir Im I I Grek. 1991 Jun;146(6):19-22.
Causes of the appearance and results of operative treatment of external bile fistulas in 38 patients after surgical interventions on bile ducts are analyzed. It was established that the main cause of the external bile fistulas were biliary hypertension resulting from an unrecognized and noncorrected during operation pathology of the choledochus. A complex of surgical treatment should be individual. It must include different methods of draining the bile ducts (external and internal) and endoscopic operations.
分析了38例胆管手术后出现外胆管瘘的原因及手术治疗结果。结果表明,外胆管瘘的主要原因是胆总管手术中未被识别和未纠正的病理状况导致的胆管高压。手术治疗方案应因人而异,必须包括不同的胆管引流方法(外引流和内引流)以及内镜手术。