Templeton J M, Howell C G, Betts J M, O'Neill J A
J Pediatr Surg. 1983 Dec;18(6):922-6. doi: 10.1016/s0022-3468(83)80047-5.
A patient with near-fatal blunt trauma to the liver was subsequently found to have complete disruption of the left hepatic and common ducts. Establishment of biliary-enteric drainage by means of Roux-en-Y jejunal limb required the use of a specially designed Silastic transhepatic stent. This stent provided direct contact between the jejunal mucosal graft and the recessed left hepatic duct. Guidelines for biliary tract reconstruction are discussed.
一名肝脏遭受近乎致命钝性创伤的患者随后被发现左肝管和肝总管完全断裂。通过Roux-en-Y空肠袢建立胆肠引流需要使用一种特殊设计的硅橡胶经肝支架。该支架使空肠黏膜移植物与凹陷的左肝管直接接触。文中讨论了胆道重建的指导原则。
