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醋酸硬化疗法治疗胆囊切除术后孤立性右后段胆管胆漏

Acetic acid sclerotherapy for treatment of biliary leak from an isolated right posterior sectoral duct after cholecystectomy.

作者信息

Park Jeong-Ik, Choi Young-Kil, Jung Bo-Hyun

机构信息

Department of Surgery, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Department of Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.

出版信息

Ann Surg Treat Res. 2017 Apr;92(4):221-224. doi: 10.4174/astr.2017.92.4.221. Epub 2017 Mar 24.

DOI:10.4174/astr.2017.92.4.221
PMID:28382295
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5378563/
Abstract

Bile duct injury is one of the most serious complications of both laparoscopic and open cholecystectomy. Isolated bile duct injury can occur from the misidentification of aberrant right hepatic ducts, and it is troublesome because the early diagnosis is easy to miss and the definite treatment is controversial. We report a case of an isolated right posterior sectoral duct injury following cholecystectomy managed successfully with acetic acid sclerotherapy combined with coil embolization for a fistula tract.

摘要

胆管损伤是腹腔镜胆囊切除术和开腹胆囊切除术最严重的并发症之一。孤立性胆管损伤可因肝右叶异常胆管的误认而发生，由于早期诊断容易漏诊且确切治疗存在争议，所以处理起来较为棘手。我们报告1例胆囊切除术后孤立性右后叶胆管损伤的病例，该病例通过醋酸硬化疗法联合瘘管弹簧圈栓塞成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/f3813459cd6b/astr-92-221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/3a0ec6a89594/astr-92-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/be8778e25cc4/astr-92-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/faaede046426/astr-92-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/671a979f29c8/astr-92-221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/f3813459cd6b/astr-92-221-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/3a0ec6a89594/astr-92-221-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/be8778e25cc4/astr-92-221-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/faaede046426/astr-92-221-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/671a979f29c8/astr-92-221-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d03a/5378563/f3813459cd6b/astr-92-221-g005.jpg

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Management of Segmental Bile Duct Injuries After Cholecystectomy: a Systematic Review.

本文引用的文献

1
Isolated right posterior bile duct injury following cholecystectomy: report of two cases.胆囊切除术后孤立性右后胆管损伤：两例报告。
World J Gastroenterol. 2013 Sep 28;19(36):6118-21. doi: 10.3748/wjg.v19.i36.6118.
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Non-operative management of right posterior sectoral duct injury following laparoscopic cholecystectomy.腹腔镜胆囊切除术后右侧后叶肝内胆管损伤的非手术治疗。
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Acetic acid sclerotherapy for treatment of a bile leak from an isolated bile duct after laparoscopic cholecystectomy.
胆囊切除术后区域性胆管损伤的处理：系统评价。
J Gastrointest Surg. 2019 Feb;23(2):408-416. doi: 10.1007/s11605-018-4027-z. Epub 2018 Nov 6.
醋酸硬化疗法治疗腹腔镜胆囊切除术后孤立胆管胆漏
Cardiovasc Intervent Radiol. 2011 Feb;34 Suppl 2:S303-6. doi: 10.1007/s00270-010-0060-3. Epub 2010 Dec 30.
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Isolated segmental, sectoral and right hepatic bile duct injuries.孤立性节段性、扇形和右肝胆管损伤。
World J Gastroenterol. 2009 Mar 28;15(12):1415-9. doi: 10.3748/wjg.15.1415.
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Delayed-onset isolated injury of the right posterior segment duct after laparoscopic cholecystectomy: a report of hepatic segmental atrophy induction.腹腔镜胆囊切除术后右后段胆管迟发性孤立性损伤：肝段萎缩诱导的病例报告
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Acetic acid sclerotherapy for treatment of a biliary leak from an isolated bile duct after hepatic surgery.醋酸硬化疗法治疗肝切除术后孤立胆管胆漏
J Vasc Interv Radiol. 2005 Jun;16(6):885-8. doi: 10.1097/01.RVI.0000157778.48280.AD.
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Isolated right segmental hepatic duct injury following laparoscopic cholecystectomy.腹腔镜胆囊切除术后孤立性右肝段胆管损伤
Cardiovasc Intervent Radiol. 2005 Mar-Apr;28(2):185-95. doi: 10.1007/s00270-004-2678-5.
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Ethanol injection therapy of an isolated bile duct associated with a biliary-cutaneous fistula.乙醇注射疗法治疗与胆皮瘘相关的孤立胆管
J Gastroenterol Hepatol. 2002 Jul;17(7):807-10. doi: 10.1046/j.1440-1746.2002.02661.x.
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