摘要
目的通过回顾我院近年胆道损伤病例来探讨医源性胆管损伤的原因及处理方法。方法回顾分析安徽医科大学附属安徽省立医院2002年至2013年102例胆管损伤病人的临床资料。对胆道损伤的原因与修补重建方法进行总结分析。结果 102例中,3例行胆道修补术,67例胆总管空肠R-Y吻合术,14例患者经内镜下或者内科治疗后好转,5例行胆肠吻合口重建手术,其余13例行其他手术。结论术中发现胆道损伤并及时修补是治疗胆道损伤的最佳时机,最常见的胆道损伤的修补方式以肝总管空肠Roux-en-Y吻合术,其余术式应根据不同情况进行选择。
Objective To investigate the reasons and treatment of iatrogenic bile duct injuries. Methods The clinical data of 102 patients with iatrogenic bile duct injury（IBDI） treated from 2002 -2013 in the affiliated provincial hospital of Anhui medical uni versity were analyzed retrospectively. Result Of all 102 cases,3 cases were treated by directly sewed. 67 eases were treated by Rouxen-Y anastomosis of bile duct and jejunum, 14 cases were treated through endoscopy or medical treatment. 5 cases were treated Anastigmatic reconstruction operation. And the other 13 cases were treated through other operation procedures. Conclusion The success rate is high when it was found during operation and repaired immediately and Roux-en-Y hepatico-jejunostomy has been widely performed at present in bile duct repaired operation, and the other operation should be selected according to different conditions.
出处
《肝胆外科杂志》
2014年第3期187-190,共4页
Journal of Hepatobiliary Surgery
关键词
医源性胆道损伤
腹腔镜胆囊切除术
胆肠吻合
iatrogenic bile duct injuries
laparoscopic chelocystomy hepatoenterostomy
choledochojejunostomy
