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肝内胆管空肠吻合术治疗肝门部恶性胆管梗阻：左肝管入路

INTRAHEPATIC CHOLANGIOJEJUNOSTOMY FOR MALIGNANT HILAR BILIARY OBSTRUCTION: APPROACH TO THE LEFT HEPATIC DUCT.

作者信息

Singh V P, Mukhopadhyay H G, Kaushik R, Kannan N

机构信息

Classified Specialist (Surgery and Surgical Oncology), INHS Asvini, Mumbai.

Senior Advisor (Surgery and Surgical Oncology) Army Hospital Delhi Cantt 110010.

出版信息

Med J Armed Forces India. 1998 Jan;54(1):21-22. doi: 10.1016/S0377-1237(17)30400-8. Epub 2017 Jun 26.

DOI:10.1016/S0377-1237(17)30400-8
PMID:28775404
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5531209/
Abstract

Biliary enteric anastomosis for relief of biliary obstruction caused by malignancy at the confluence of the bile ducts can be difficult due to non availability of an adequate length of duct for anastomosis. This paper describes an approach to the left hepatic duct to decompress the biliary tree and its successful application in 11 of 12 patients who presented with malignant hilar obstruction.

摘要

因胆管汇合处恶性肿瘤导致胆管梗阻而行胆肠吻合术可能会因缺乏足够长度的胆管用于吻合而变得困难。本文描述了一种经左肝管减压胆道系统的方法，并介绍了该方法在12例伴有肝门部恶性梗阻患者中的11例成功应用情况。

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本文引用的文献

1
NON SURGICAL OPTIONS IN "SURGICAL" JAUNDICE.“外科性”黄疸的非手术治疗方案
Med J Armed Forces India. 1994 Apr;50(2):77-78. doi: 10.1016/S0377-1237(17)31003-1. Epub 2017 Jun 27.
2
[Approach to and use of the left hepatic duct in reparation of the common bile duct].[左肝管在胆总管修复中的应用及处理方法]
Presse Med (1893). 1956 May 23;64(41):947-8.
3
A three year follow up of self expanding metal stents in the endoscopic palliation of longterm survivors with malignant biliary obstruction.自膨式金属支架用于恶性胆管梗阻长期存活者内镜下姑息治疗的三年随访
Gut. 1995 Apr;36(4):618-21. doi: 10.1136/gut.36.4.618.
4
Intrahepatic anastomoses for malignant and benign biliary obstruction.用于恶性和良性胆道梗阻的肝内吻合术。
Arch Surg. 1995 Feb;130(2):137-42. doi: 10.1001/archsurg.1995.01430020027002.
5
Left intrahepatic cholangiojejunostomy for proximal obstruction of the biliary tract.
Surg Gynecol Obstet. 1980 Feb;150(2):193-7.
6
Management of malignant obstructive jaundice at The Middlesex Hospital.米德尔塞克斯医院恶性梗阻性黄疸的治疗
Br J Surg. 1983 Oct;70(10):584-6. doi: 10.1002/bjs.1800701006.
7
Pre-operative percutaneous transhepatic biliary drainage: the results of a controlled trial.术前经皮经肝胆道引流：一项对照试验的结果。
Br J Surg. 1984 May;71(5):371-5. doi: 10.1002/bjs.1800710522.
8
Hepaticojejunostomy in benign and malignant high bile duct stricture: approaches to the left hepatic ducts.肝门空肠吻合术治疗良性和恶性高位胆管狭窄：左肝管的处理方法
Br J Surg. 1984 Apr;71(4):257-61. doi: 10.1002/bjs.1800710403.
9
Resection or palliation: priority of surgery in the treatment of hilar cancer.切除或姑息治疗：肝门癌治疗中手术的优先级
World J Surg. 1988 Feb;12(1):39-47. doi: 10.1007/BF01658484.
10
Left intrahepatic cholangio-enteric anastomosis (round ligament approach): an effective palliative treatment for hilar cancers.左肝内胆管-肠吻合术（圆韧带入路）：一种治疗肝门部癌的有效姑息性治疗方法。
Br J Surg. 1987 Oct;74(10):952-4. doi: 10.1002/bjs.1800741023.