Fu Y, Li K, Gao Z
Xijing Hospital, Fourth Military Medical University, Xian.
Zhonghua Wai Ke Za Zhi. 1996 Jan;34(1):33-5.
74 patients with iatrogenic injuries of bile duct were treated from June 1965 to October 1994 in our hospital. Iatragenic extrahepatic bile duct injuries may be caused by some errors during cholecystectomy. The operator did not realize that cholecystectomy itself is a procedure with inherent and potential risks. The operator was careless, rude and arrogant in operating. The operator lacked experience and skill, and was unable to deal with difficult situation during operation. Also we discussed the management of bile duct injuries, and suggested that intraoperative injuries of extrahepatic bile duct should be reconstructed immediately including repair of or end to end anastomoses of the injuries of bile duct. Cholecystojejunostomy (Roux-en-Y technique) is the best reconstruction procedure for patients with the injuries of bile duct after operation or failure of repetitional repaired and reconstructive operations of bile duct. Satisfactory result could be obtained.
1965年6月至1994年10月，我院共收治74例医源性胆管损伤患者。医源性肝外胆管损伤可能由胆囊切除术过程中的一些失误引起。手术者未意识到胆囊切除术本身就是一个存在固有和潜在风险的手术。手术者在操作时粗心、粗暴且傲慢。手术者缺乏经验和技能，无法应对手术中的困难情况。我们还讨论了胆管损伤的处理方法，并建议肝外胆管的术中损伤应立即重建，包括胆管损伤的修复或端端吻合。胆囊空肠吻合术（Roux-en-Y技术）是术后胆管损伤患者或胆管重复修复和重建手术失败患者的最佳重建手术方法。可获得满意的效果。
