Çavuşoğlu Simay Dal, Doğanay Mutlu, Birben Birkan, Akkurt Gökhan, Akgul Özgur, Keşkek Mehmet
Department of General Surgery, Mağusa Live Hospital, Cyprus.
Department of General Surgery, Numune Training and Research Hospital, Ankara, Turkey.
Euroasian J Hepatogastroenterol. 2020 Jan-Jun;10(1):22-26. doi: 10.5005/jp-journals-10018-1309.
The aim of our study was to determine operative and nonoperative treatments performed in bile duct injuries and the effect of a multidisciplinary approach on the treatment.
Bile duct injuries may lead to morbidities such as biliary leakage, peritonitis, and mortality.
A total of 83 patients with biliary complications (37 patients with iatrogenic bile duct injury referred to our clinic from other centers were also included in this study) were evaluated.
Of the operated 6,663 patients, iatrogenic bile duct injury occurred in 46 (0.69%) of these patients. The most common type of injury was Strasberg type A injury, which was found in 48 (57.83%) patients. The time interval between the diagnosis and initiation of treatment after the operation was shorter in patients with an inserted cavity drainage catheter ( < 0.05). Of the patients with bile duct injury, 32.6% received surgical and 62.6% endoscopic treatment, while 4.8% were followed-up without intervention. The rate of mortality was found to be 2.4%.
Time interval to diagnosis is of great importance for management of the patients.
Çavuşoğlu SD, Doğanay M, Birben B, Management of Bile Duct Injuries: A 6-year Experience in a High Volume Referral Center. Euroasian J Hepato-Gastroenterol 2020;10(1):22-26.
本研究旨在确定胆管损伤的手术和非手术治疗方法以及多学科方法对治疗的影响。
胆管损伤可能导致诸如胆漏、腹膜炎等并发症以及死亡。
共评估了83例胆道并发症患者（本研究还纳入了从其他中心转诊至我院的37例医源性胆管损伤患者）。
在6663例接受手术的患者中，有46例（0.69%）发生医源性胆管损伤。最常见的损伤类型是Strasberg A型损伤，在48例（57.83%）患者中发现。置入腔引流导管的患者术后诊断与开始治疗之间的时间间隔较短（<0.05）。在胆管损伤患者中，32.6%接受了手术治疗，62.6%接受了内镜治疗，而4.8%未进行干预仅接受随访。死亡率为2.4%。
诊断时间间隔对患者的治疗管理至关重要。
Çavuşoğlu SD, Doğanay M, Birben B, 胆管损伤的治疗：一家大型转诊中心的6年经验。《欧亚肝脏胃肠病学杂志》2020；10(1):22 - 26。
