Mehler Stephen J
Veterinary Specialists of Rochester, 825 White Spruce Boulevard, Rochester, NY 14623, USA.
Vet Clin North Am Small Anim Pract. 2011 Sep;41(5):949-67, vi. doi: 10.1016/j.cvsm.2011.05.009.
Surgery of the biliary tract is demanding and is associated with several potentially life-threatening complications. Veterinarians face challenges in obtaining accurate diagnosis of biliary disease, surgical decision-making, surgical hemostasis and bile peritonitis. Intensive perioperative monitoring is required to achieve early recognition of common postoperative complications. Proper treatment and ideally, avoidance of surgical complications can be achieved by gaining a clear understanding physiology, anatomy, and the indications for hepatobiliary surgery.
胆道手术要求高,且伴有多种可能危及生命的并发症。兽医在准确诊断胆道疾病、进行手术决策、手术止血以及处理胆汁性腹膜炎方面面临挑战。需要进行强化围手术期监测,以便早期识别常见的术后并发症。通过深入了解生理学、解剖学以及肝胆手术的适应症,可以实现恰当的治疗,理想情况下还能避免手术并发症。