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肝内胆管空肠吻合术:一种新的简化方法。

Intrahepatic cholangiojejunostomy: a new simplified approach.

作者信息

Cahow C E

出版信息

Am J Surg. 1979 Apr;137(4):443-8. doi: 10.1016/0002-9610(79)90112-0.

DOI:10.1016/0002-9610(79)90112-0
PMID:426193
Abstract

A simplified technic for performing intrahepatic cholangiojejunostomy has been described, which can be utilized to bypass proximal biliary tract obstruction where the usual methods of choledochoenteric decompression are not possible. This technic has been performed nine times in seven patients, with a mortality of 30 per cent. In all but the two patients who died of liver failure in the immediate postoperative period, jaundice and pruritus were relieved. There was one wound infection and one instance of stenosis of the anastomosis which responded to dilatation.

摘要

一种用于施行肝内胆管空肠吻合术的简化技术已被描述,该技术可用于绕过近端胆道梗阻,而在此种情况下,通常的胆总管肠道减压方法是不可行的。这项技术已在7例患者中实施了9次,死亡率为30%。除了2例在术后短期内死于肝功能衰竭的患者外,其余患者的黄疸和瘙痒均得到缓解。发生了1例伤口感染和1例吻合口狭窄,后者经扩张治疗后好转。

相似文献

1
Intrahepatic cholangiojejunostomy: a new simplified approach.肝内胆管空肠吻合术:一种新的简化方法。
Am J Surg. 1979 Apr;137(4):443-8. doi: 10.1016/0002-9610(79)90112-0.
2
[Intrahepatic B3 cholangiojejunostomy in the palliative surgery of high unresectable malignant biliary obstruction].[肝内B3胆管空肠吻合术在高位不可切除恶性胆管梗阻姑息性手术中的应用]
Acta Chir Iugosl. 2004;51(3):85-91. doi: 10.2298/aci0403085k.
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Intrahepatic cholangiojejunostomy in the management of malignant biliary obstruction.
Surg Gynecol Obstet. 1973 Jan;136(1):27-32.
4
[Indications for and results of Longmire's intrahepatic cholangiojejunostomy in proximal malignant stenosis of the hepatic duct].
Helv Chir Acta. 1974 Dec;41(5-6):749-52.
5
Segment III cholangiojejunostomy for palliation of malignant hilar obstruction.用于缓解恶性肝门部梗阻的Ⅲ段胆管空肠吻合术。
Br J Surg. 1994 Nov;81(11):1639-41. doi: 10.1002/bjs.1800811125.
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Intrahepatic biliary intestinal diversion for biliary obstruction: experience in 34 patients.肝内胆管肠道转流术治疗胆道梗阻:34例患者的经验
Br J Surg. 1980 Apr;67(4):263-5. doi: 10.1002/bjs.1800670411.
7
Alternative methods for hepatic decompression.肝脏减压的替代方法。
Surg Clin North Am. 1980 Oct;60(5):1305-14. doi: 10.1016/s0039-6109(16)42253-x.
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[Cholangiojejunostomy of the duct of the 3d segment. Palliative treatment of cholestatic jaundice caused by neoplastic obstruction of the hepatic hilus].
Chir Ital. 1996;48(4):33-8.
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Intrahepatic segment III cholangiojejunostomy in advanced carcinoma of the gallbladder.肝内Ⅲ段胆管空肠吻合术治疗晚期胆囊癌
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Experience with intrahepatic cholangiojejunostomy for unresectable carcinoma of the hepatic hilus.
Int Surg. 1988 Jan-Mar;73(1):1-5.

引用本文的文献

1
Cysto-cholecystostomy: A More Physiological Procedure for Hepatic Cysts with Biliary Communications and Cystic Dilatations of Main Intrahepatic Ducts.囊肿-胆囊造瘘术:一种针对具有胆管相通及肝内主要胆管囊性扩张的肝囊肿的更符合生理的手术方法。
World J Surg. 2018 Aug;42(8):2599-2605. doi: 10.1007/s00268-018-4491-3.
2
Palliative decompression of obstructive hilar malignancies utilizing an extrahilar biliary approach.采用肝门外胆管入路对梗阻性肝门恶性肿瘤进行姑息性减压。
Dig Dis Sci. 2000 Aug;45(8):1585-93. doi: 10.1023/a:1005569128877.
3
Peripheral hepatojejunostomy as palliative treatment for irresectable malignant tumors of the liver hilum.
外周肝空肠吻合术作为肝门部不可切除恶性肿瘤的姑息性治疗方法。
Ann Surg. 1999 Feb;229(2):181-6. doi: 10.1097/00000658-199902000-00004.
4
Management of injuries to the porta hepatis.肝门损伤的处理
Ann Surg. 1985 Nov;202(5):539-45. doi: 10.1097/00000658-198511000-00002.
5
Resection or palliation: priority of surgery in the treatment of hilar cancer.切除或姑息治疗:肝门癌治疗中手术的优先级
World J Surg. 1988 Feb;12(1):39-47. doi: 10.1007/BF01658484.