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局部构建的胆道重建：自体移植修复胆管损伤和缺损1例报告

Biliary reconstruction with localized creation: One case report of repairing bile duct injury and defect with autografts.

作者信息

Zheng Feibo, Zhang Yuqing, Ha Liang, Xia Jipeng, Cui Yunfeng

机构信息

Department of Hepatobiliary and Pancreatic Surgery, Department of Surgery, Tianjin Nankai Hospital, Nankai Clinical School of Medicine, Tianjin Medical University, Tianjin 300100, China; Department of Surgery, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China.

Department of Surgery, Tianjin Occupational Diseases Precaution and Therapeutic Hospital, Tianjin 300011, China.

出版信息

Int J Surg Case Rep. 2024 May;118:109597. doi: 10.1016/j.ijscr.2024.109597. Epub 2024 Apr 2.

DOI:10.1016/j.ijscr.2024.109597
PMID:38579598
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11004863/
Abstract

INTRODUCTION

Bile duct injuries caused by any reason are a disaster for patients and pose a significant psychological and technical challenge for surgeons. The use of Ligamentum teres hepatis and gallbladder flap as autografts is showing promising results in the repair of bile duct injury.

CASE PRESENTATION

This article presents a challenging case of a patient with Mirizzi syndrome who experienced a complex bile duct defect and injury during cholecystectomy. We describe the successful reconstruction of the bile duct using ligamentum teres hepatis and remnant gallbladder flap simultaneously.

DISCUSSION

Ligamentum teres hepatis and remnant gallbladder flap are ideal repair materials for repairing and reconstructing bile duct injuries due to their easy availability, good tissue compatibility, and low incidence of postoperative complications. It is essential to seek the assistance of an experienced biliary surgeon when bile duct injury occurs during operation.

CONCLUSION

Ligamentum teres hepatis and gallbladder flap, as suitable autologous tissues, are viable options for repairing bile duct injuries and defects.

摘要

引言

任何原因导致的胆管损伤对患者来说都是一场灾难，对外科医生而言也是重大的心理和技术挑战。使用肝圆韧带和胆囊瓣作为自体移植物在胆管损伤修复方面显示出了有前景的结果。

病例报告

本文介绍了一例具有挑战性的Mirizzi综合征患者，该患者在胆囊切除术中经历了复杂的胆管缺损和损伤。我们描述了同时使用肝圆韧带和残余胆囊瓣成功重建胆管的过程。

讨论

肝圆韧带和残余胆囊瓣因其易于获取、良好的组织相容性以及术后并发症发生率低，是修复和重建胆管损伤的理想修复材料。术中发生胆管损伤时，寻求经验丰富的胆道外科医生的帮助至关重要。

结论

肝圆韧带和胆囊瓣作为合适的自体组织，是修复胆管损伤和缺损的可行选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/6d9a9046fa9f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/43b032f8aa7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/a9c7a537e165/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/697a12448b64/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/6d9a9046fa9f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/43b032f8aa7e/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/a9c7a537e165/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/697a12448b64/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9542/11004863/6d9a9046fa9f/gr4.jpg

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