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胆管手术损伤。12例报告。

Operative injuries to the bile ducts. Report on 12 cases.

作者信息

Seror J, Schmitt J C, Pateras C, Sava G

出版信息

Int Surg. 1978 Feb;63(2):108-13.

PMID:632018
Abstract

We have reported on a series of 12 operative injuries to the bile ducts. We estimate the frequency of these accidents at 0.2% during cholecystectomy and 0.4% after gastroduodenectomy. We stress the importance of systematic cholangiography during the operation to prevent unrecognized lesions. Immediate repair of these lesions by an end-to-end anastomosis appears to be the best technical method. When faced with a high mortality rate, often due to non-recognition of a lesion, we stress the importance of prevention to limit the risk of such accidents occurring and non-recognition of those that do occur.

摘要

我们报告了一系列12例胆管手术损伤。我们估计这些事故在胆囊切除术中的发生率为0.2%,在胃十二指肠切除术后为0.4%。我们强调术中系统性胆管造影对于预防未被识别的病变的重要性。通过端端吻合术立即修复这些病变似乎是最佳的技术方法。当面临通常因病变未被识别而导致的高死亡率时,我们强调预防的重要性,以限制此类事故发生的风险以及未能识别已发生事故的风险。

相似文献

1
Operative injuries to the bile ducts. Report on 12 cases.胆管手术损伤。12例报告。
Int Surg. 1978 Feb;63(2):108-13.
2
[Operative wounds of the main biliary tract: immediate repair (author's transl)].[主要胆道手术伤口:即时修复(作者译)]
Acta Chir Belg. 1977 Sep-Oct;76(5):489-99.
3
[Percutaneous correction of benign stenosis of the bile ducts and biliary-digestive anastomosis. Percutaneous transhepatic biliplasty].[经皮矫正胆管良性狭窄及胆肠吻合术。经皮经肝胆道成形术]
Radiol Med. 1985 May;71(5):307-15.
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[Accidental and iatrogenic injuries of the bile ducts].[胆管的意外和医源性损伤]
Helv Chir Acta. 1974 Dec;41(5-6):639-52.
5
[Our experience with reparative and derivative operations for non-cancerous lesions in the extrahepatic bile ducts].
Minerva Chir. 1976 Mar 31;31(6):221-29.
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Bile duct injury during laparoscopic cholecystectomy.腹腔镜胆囊切除术期间的胆管损伤。
Can J Surg. 1993 Dec;36(6):509-16.
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[Results of 21 years of surgery in iatrogenic lesions of the bile ducts].[21年胆管医源性损伤手术治疗结果]
Rev Gastroenterol Mex. 2002 Apr-Jun;67(2):76-81.
8
[Correction of accidental injuries of bile ducts during operations].[手术中胆管意外伤害的纠正]
Vestn Khir Im I I Grek. 1977 Jun;118(6):5-11.
9
[Laparoscopic cholecystectomy--accessory bile ducts].[腹腔镜胆囊切除术——副胆管]
Acta Med Croatica. 2003;57(2):105-9.
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Iatrogenic bile duct injuries. The real incidence and contributing factors--implications for laparoscopic cholecystectomy.医源性胆管损伤。实际发生率及相关因素——对腹腔镜胆囊切除术的启示
Am Surg. 1992 Dec;58(12):766-71.

引用本文的文献

1
Extrahepatic biliary duct trauma--a spectrum of injuries.肝外胆管创伤——一系列损伤
West J Med. 1981 Apr;134(4):283-9.