使用空肠管进行腹腔镜下肝外胆管重建：一种用于胆肠吻合的创新、更符合生理和解剖学的技术†
Laparoscopic reconstruction of the extrahepatic bile duct using a jejunal tube: an innovative, more physiological and anatomical technique for biliodigestive derivation†.
作者信息
Crema Eduardo, Trentini Eliane Anrain, Teles Celso Júnior Oliveira, Monti Paulo Ricardo, Lacerda Croider Franco, Junior Juverson Alves Terra, Silva Alex Augusto
机构信息
Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil
Department of Digestive Surgery, Triangulo Mineiro Federal University, Uberaba, Minas Gerais, Brazil.
出版信息
J Surg Case Rep. 2014 Jan 7;2014(1). doi: 10.1093/jscr/rjt106. Print 2014 Jan.
The incidence of bile duct injuries has increased as a consequence of the increasing number of cholecystectomies. However, the results of biliodigestive derivation currently used for bile duct reconstruction are unsatisfactory. We report here the case of a patient with iatrogenic Bismuth II bile duct injury and propose a new technique that permits more anatomical and physiological reconstruction of extensive bile duct injuries using transverse retubularization of a pedicled jejunal segment interposed between the bile duct and duodenum.
由于胆囊切除术数量的增加，胆管损伤的发生率也随之上升。然而，目前用于胆管重建的胆肠转流术的效果并不理想。我们在此报告一例医源性毕氏II型胆管损伤患者的病例，并提出一种新技术，该技术通过在胆管和十二指肠之间置入带蒂空肠段进行横向再管化，从而实现对广泛胆管损伤进行更符合解剖学和生理学的重建。
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