一种胆道重建技术，对44例连续病例进行了完整随访。
A technique of biliary tract reconstruction with complete follow-up in 44 consecutive cases.
作者信息
Braasch J W, Bolton J S, Rossi R L
出版信息
Ann Surg. 1981 Nov;194(5):635-8. doi: 10.1097/00000658-198111000-00013.
Abstract
Forty-four consecutive stricture repairs by one surgeon with long-term follow-up study are reported. Sutured anastomoses were performed in 39 patients. Essentials of the sutured repair include minimal dissection of the proximal duct, a one-layer anastomosis, mucosa-to-mucosa apposition, and a preference for hepaticojejunostomy with a T-tube stent. Eighty-six per cent of the patients treated by this technique achieved satisfactory results. This technique is the procedure of choice for repair of biliary stricture.
摘要
报告了一位外科医生连续进行的44例狭窄修复手术及长期随访研究。39例患者进行了缝合吻合术。缝合修复的要点包括近端胆管的最小化解剖、单层吻合、黏膜对黏膜贴合以及优先选择带T管支架的肝空肠吻合术。采用该技术治疗的患者中有86%取得了满意的效果。该技术是胆管狭窄修复的首选术式。
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