[胆结石手术治疗患者的胆管损伤及其后遗症的外科重建]
[Bile duct injuries and surgical reconstruction of their sequelae in patients surgically treated for cholelithiasis].
作者信息
Woldan J, Bednarz W, Szydłowski Z, Wojczys R, Spodzieja J, Forkasiewicz Z
机构信息
I Katedry i Kliniki Chirurgii Akademii Medycznej we Wrocławiu.
出版信息
Wiad Lek. 1997;50 Suppl 1 Pt 2:309-12.
PMID:9424893
Abstract
27 patients operated for bile duct injuries as a complication of cholecystectomy were analyzed. The methods of surgical management in "fresh" bile duct injuries and delayed complications such as stenosis of bile ducts or anastomosis and recurrent cholangitis were discussed. Mucosa to mucosa, Roux-en-Y anastomosis, without splinting drains seems to be the best way to restore bile flow to digestive tract.
摘要
对27例因胆囊切除术并发症而接受胆管损伤手术的患者进行了分析。讨论了“新鲜”胆管损伤以及胆管或吻合口狭窄和复发性胆管炎等延迟并发症的手术处理方法。黏膜对黏膜的Roux-en-Y吻合术，不放置支撑引流管，似乎是恢复胆汁流入消化道的最佳方法。
Zotero 插件