摘要
外科手术是治疗医源性胆管损伤最主要的手段,手术修复时机的正确选择是损伤修复成功的先决条件。详细的阐述了术中发现胆管损伤的即时修复和术后发现的延期修复时机,并根据不同的损伤部位和表现(如胆道梗阻、胆漏和胆胰肠结合部损伤),就延期修复的时机和方法进行了总结和归纳。认为损伤局部的病理状态是决定手术时机的首要因素,修复时机把握的总体趋势是倾向于早期修复,延期修复在炎症得到有效控制后2~4周内尽早实施。
Surgical operation is the most important method for the treatment of iatrogenic bile duct injury,and correct selection of the timing of surgical repair is a prerequisite for successful injury repair.This article elaborates on the timing of immediate repair of bile duct injury found during surgery and the timing of delayed repair of bile duct injury found after surgery and summarizes the timing and methods for delayed repair based on the location and manifestations of injuries（ such as biliary obstruction,bile leakage,and injury in the choledocho-pancreatico- duodenal junction）.It is pointed out that the pathological state of injury is the critical factor for deciding surgical timing.The overall tendency of the timing of repair is early repair,and delayed repair should be performed as early as possible within 2- 4 weeks after effective control of inflammation.
出处
《临床肝胆病杂志》
CAS
2017年第2期260-262,共3页
Journal of Clinical Hepatology
关键词
胆管疾病
外科手术
bile duct diseases
surgical procedures
operative
