Becker H, Brandt P, Ungeheuer E
Med Klin. 1977 Nov 18;72(46):1972-5.
21 cases of decholedochoduodenostomy are reported. The reinterventions were necessary because of narrowing of the anastomosis, choledocholithiasis, developement of a blind-sack in the retroduodenal choledochal duct and because of intolerance of the duodenal-biliary reflux. In one case a broncho-biliary fistula was treated. In all cases an ascending cholangitis was observed. The indication for relaparotomy is decided on the basis of the anamnesis. The operative technique for decholedochoduodenostomy is described.
报告了21例胆总管十二指肠吻合术。再次手术干预是必要的，原因包括吻合口狭窄、胆总管结石、十二指肠后胆总管形成盲袋以及十二指肠-胆管反流不耐受。其中1例治疗了支气管-胆管瘘。所有病例均观察到上行性胆管炎。再次剖腹手术的指征根据病史确定。描述了胆总管十二指肠吻合术的手术技术。
