Parks R W, Diamond T
Department of Surgery, Queen's University of Belfast, UK.
Br J Surg. 1995 Oct;82(10):1303-10. doi: 10.1002/bjs.1800821005.
Non-surgical trauma to the extrahepatic biliary tract is uncommon and encountered only rarely by surgeons outside specialist hepatobiliary centres. Such injury often results in significant morbidity and mortality. This review outlines the incidence, classification, mechanisms of injury, presentation, diagnostic techniques and management options. Depending on the type of biliary injury identified, an optimal method of repair is suggested. Recommendations are made for surgeons who encounter this type of injury and do not have the appropriate expertise for definitive management.
肝外胆道的非手术性创伤并不常见，只有在专科肝胆中心以外的外科医生很少遇到。这种损伤常导致严重的发病率和死亡率。本综述概述了其发病率、分类、损伤机制、临床表现、诊断技术和治疗选择。根据所确定的胆道损伤类型，建议采用最佳修复方法。针对遇到此类损伤但没有进行确定性治疗的适当专业知识的外科医生提出了建议。
