摘要
目的 :为克服传统胆肠吻合术治疗肝胆管结石存在的诸多不足 ,设计了一种新术式———皮下通道型胆囊肝胆管成形术。方法 :在清除结石 ,切开肝门部胆管狭窄环 ,并做好肝门整形后 ,将胆囊壶腹部切开相应大小的切口与之吻合 ,并适当游离胆囊 ,使其底部可以被固定于切口皮下。结果 :完成此术式 87例 ,所有患者手术顺利 ,术后恢复良好 ,未发生并发症。结论 :该术式既能有效地处理结石 ,纠正狭窄 ,又能保存胆囊、胆管及Oddi’s括约肌的作用 ,保存胃肠道的正常生理通路及功能。
Objective:To overcome the faults of cholangio jejunostomy,a novel operation was designed.Methods:Hartmann's pouch of gallbladder was used to anastomose stone strictured intrahepatic bile duct while leaving the common bile duct and Oddi's sphincter intact and fixing the fundus of bladder subcutaneously.Results:87 patients underwent the operation successfully,and recovered well. There was no postoperative complications.Conclusion:This operation not only keeps the normal physical function of gallbladder,hepatic bile duct,GI tract and Oddi's sphincter intact but also provides a new way to treat postoperative recurrence or remaining stone
出处
《肝胆胰外科杂志》
CAS
2002年第3期136-137,共2页
Journal of Hepatopancreatobiliary Surgery
