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医源性胆管损伤并狭窄(附18例分析)
引用本文:王文龙 宋式楚. 医源性胆管损伤并狭窄(附18例分析)[J]. 中国普通外科杂志, 1994, 3(3): 141-142
作者姓名:王文龙 宋式楚
作者单位:湖北省武汉市第二医院普外科,广东省湛江市中心人民医院普外科
摘    要:
本文报告18例医源性胆管损伤,14例发生于胆囊切除,4例发生于胃大部切除。4例经总胆管十二指肠吻合,7例经胆管修补T管支撑,2例胆管端端吻合T管支撑,5例经肝总管空肠Roux一en一Y吻合,17例治愈,1例死于心脏病。作者认为Roux一en一Y吻合术疗效最可靠。

关 键 词:胆管损伤,修复,医源性

IATROGENIC INJURIES OF THE BILIARY DUCTS
Wting Wen-long,et al.. IATROGENIC INJURIES OF THE BILIARY DUCTS[J]. Chinese Journal of General Surgery, 1994, 3(3): 141-142
Authors:Wting Wen-long  et al.
Abstract:
8 cases of iatrogenic bile duct injury were reported. 14 occurred duringcholecystectomy and 4 during subtotal gastrectomy. Duct repair with T tubeprosthesis was performed in 7 cases ,hepatic duct-duodenal anastomosis was in4 cases ,bile duct end to end anastomosis with T tube prosthesis was in 2 cases.Roux-en-Y anastomosis of the bile duct and jejunum was in 5. 17 patients recov-ered while one died of cardiac attack. The authors feel that the Roux-en-Y pre-cedure was more reliable as there was no stenosis occurred in this group at followup .
Keywords:Biliary ducts  Injury  Iatrogenic
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