Aoki Y, Oka S, Nakamura M, Nakatsuka H, Kawaguchi T, Tanimura H
Department of Surgery, Hashimoto Municipal Hospital, Japan.
Nihon Geka Hokan. 1990 May 1;59(3):234-9.
We experienced a total of 70 side-to-side choledochoduodenostomy cases and 80% of them were indicated for gallstone disease patients. There were no early postoperative complications, but intrahepatic gallstones developed in 2 cases. The size of the stoma and the width of the common duct were reduced about 30% within 3 postoperative months. Although clinical cholangitis did not occur in the presence of an adequate stoma, histological cholangitis was constantly seen throughout 10-year-follow-up period. Strictness of operative indications, and periodical and long term follow-up study of postoperative patients are mandatory to obtain better clinical results.
我们共进行了70例胆总管十二指肠侧侧吻合术，其中80%用于胆结石疾病患者。术后早期无并发症，但有2例出现肝内胆结石。术后3个月内，吻合口大小和胆总管宽度缩小约30%。尽管在吻合口足够的情况下未发生临床胆管炎，但在10年的随访期内一直可见组织学胆管炎。严格掌握手术适应证，对术后患者进行定期和长期随访研究，对于获得更好的临床效果是必不可少的。
