Lamesch A J, Dociu N
Microsurgery. 1986;7(1):46-52. doi: 10.1002/micr.1920070107.
Surgery of the biliary ducts remains a problem in traumatologic and iatrogenic injuries as well as in liver transplantation. The purpose of this study was to perfect microsurgical technique of anastomosis of the common bile duct and to study the healing and tissue reaction at the anastomotic site. The healing of microsurgical closure of longitudinal choledochotomies was studied as well. Light microscopic and scanning electron microscopic examination were performed at different intervals after operation. The permeability of the anastomosis was studied by transduodenal retrograde choledochography. Reepithelialization was obtained in 2 weeks. Microsurgery offers an interesting perspective to reconstructive biliary and transplantation surgery.
胆管手术在创伤性和医源性损伤以及肝移植中仍然是一个难题。本研究的目的是完善胆总管吻合的显微外科技术，并研究吻合部位的愈合和组织反应。同时也对胆总管纵行切开的显微外科闭合的愈合情况进行了研究。术后在不同时间间隔进行了光镜和扫描电镜检查。通过经十二指肠逆行胆管造影研究吻合口的通畅情况。术后2周实现了上皮再形成。显微外科为重建性胆管和移植手术提供了一个有趣的前景。
