Hadjis N S, Blumgart L H
Hepatobiliary Surgical Unit, Royal Postgraduate Medical School, Hammersmith Hospital, London, England.
Arch Surg. 1988 Mar;123(3):351-3. doi: 10.1001/archsurg.1988.01400270085013.
No principles have so far been applied to the management advocated for injuries to segmental bile ducts. On the basis of experimental data and clinical evidence related to the pathophysiological sequelae of segmental bile duct obstruction, and given the potentially harmful complications of reconstructive surgery in combination with its uncertain outcome, it is suggested that simple ligation of injured segmental ducts is the treatment of choice, irrespective of their size.
到目前为止，尚未有任何原则应用于针对节段性胆管损伤所倡导的处理方法。基于与节段性胆管梗阻的病理生理后果相关的实验数据和临床证据，并且考虑到重建手术潜在的有害并发症及其不确定的结果，建议对损伤的节段性胆管进行单纯结扎作为首选治疗方法，而不论其大小如何。
