Emhmed Ali Saad, Mardini Houssam, Salih Mohsin, Krohmer Steven J, Frandah Wesam M
Department of Internal Medicine, Division of Hospital Medicine, University of Kentucky Medical Center, Lexington, KY.
Department of Internal Medicine, Division of Gastroenterology and Hepatology, University of Kentucky Medical Center, Lexington, KY.
ACG Case Rep J. 2017 Oct 11;4:e111. doi: 10.14309/crj.2017.111. eCollection 2017.
Common bile duct (CBD) injury, ranging from a partial tear to a complete transection, is a major surgical complication of cholecystectomy with significant morbidity and mortality. Proper management of these complex injuries depends on the type and extent of injury and time of recognition. Identifying and repairing injuries during cholecystectomy can prevent development of complications, but this only occurs in about one-third of cases. We report a novel technique to reconnect a transected CBD with assistance of single-operator cholangioscopy.
胆总管（CBD）损伤，从部分撕裂到完全横断，是胆囊切除术的一种主要手术并发症，具有显著的发病率和死亡率。对这些复杂损伤的妥善处理取决于损伤的类型、程度以及识别时间。在胆囊切除术中识别并修复损伤可预防并发症的发生，但这种情况仅在约三分之一的病例中出现。我们报告一种在单操作者胆管镜辅助下重新连接横断胆总管的新技术。
