Vecherko V N, Minin V V, Khatsko V V, Shatalov V F, Shatalov A D
Khirurgiia (Mosk). 1995(5):67-9.
The authors analysed 92 reconstructive and restorative operations on the biliary tract injured at a high level during emergency operations. Such complications occur most frequently when the surgeon is insufficiently experienced or due to unavailability or incomplete use of the radiological method of intraoperative diagnostics. The expediency of reinfusion of the lost bile into the gastrointestinal tract in the diagnosis of injury to the biliary tract is pointed out. It is emphasized that patients must be transferred early to a specialized medical establishment for a reconstructive operation. The creation of hepato-digestive anastomoses on a transhepatic drain produces better results than the other drainage methods. In the group of 92 patients 77 recovered and 15 died in different periods after the operation.
作者分析了92例急诊手术中高位胆管损伤的重建和修复手术。此类并发症最常发生在外科医生经验不足时,或由于术中诊断的放射学方法不可用或使用不完整。文中指出了在胆管损伤诊断中回输丢失胆汁至胃肠道的合理性。强调必须尽早将患者转至专业医疗机构进行重建手术。经肝引流建立肝-消化吻合术比其他引流方法效果更好。在92例患者组中,77例术后不同时期康复,15例死亡。