Thomas M N, Stippel D L
Klinik für Allgemeine‑, Viszeral- Tumor- und Transplantationschirurgie, Uniklinik Köln, Kerpener Straße 62, 50937, Köln, Deutschland.
Chirurg. 2020 Jan;91(1):18-22. doi: 10.1007/s00104-019-01060-2.
Bile duct injuries can occur after abdominal trauma, postoperatively after cholecystectomy, liver resection or liver transplantation and also as a complication of endoscopic retrograde cholangiopancreatography (ERCP). The clinical appearance of bile duct injuries is highly variable and depends primarily on the underlying cause. In addition to the high perioperative morbidity, following successful initial complication management, bile duct injuries can lead to significant long-term complications. The treatment requires close interdisciplinary cooperation between surgery, interventional gastroenterology and interventional radiology. The treatment of bile duct injuries depends primarily on the time of diagnosis (intraoperative/postoperative) as well as the extent of the injury and is discussed in this review.
胆管损伤可发生于腹部创伤后、胆囊切除术、肝切除术后或肝移植术后,也可作为内镜逆行胰胆管造影术(ERCP)的并发症出现。胆管损伤的临床表现差异很大,主要取决于潜在病因。除了围手术期发病率高外,在初始并发症成功处理后,胆管损伤可导致严重的长期并发症。治疗需要外科、介入性胃肠病学和介入放射学之间密切的多学科合作。胆管损伤的治疗主要取决于诊断时间(术中/术后)以及损伤程度,本文将对此进行讨论。