| 损伤性高位良性胆管狭窄的外科治疗策略 |
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| 引用本文： | 彭淑牖,钱浩然.损伤性高位良性胆管狭窄的外科治疗策略[J].中华消化外科杂志,2012,11(5):408-410. |
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| 作者姓名： | 彭淑牖 钱浩然 |
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| 作者单位： | 1. 310009杭州,浙江大学医学院第二附属医院普通外科;310016杭州,浙江大学医学院附属邵逸夫医院普通外科
2. 浙江大学医学院附属邵逸夫医院普通外科,杭州,310016 |
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| 摘 要： | Iatrogenic bile duct injuries (BDIs) and subsequent benign biliary stricture is a medical catastrophe which is associated with significant perioperative morbidity and mortality,reduced long-term surviv...
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| 关 键 词： | 胆管狭窄 良性 胆管损伤 医源性 肝管空肠吻合术 |
Surgical strategies for the management of traumatic benign stricture of high bile duct |
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| PENG Shu-you
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QIAN Hao-ran.Surgical strategies for the management of traumatic benign stricture of high bile duct[J].Chinese Journal of Digestive Surgery,2012,11(5):408-410. |
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| Authors: | PENG Shu-you QIAN Hao-ran |
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| Abstract: | Iatrogenic bile duct injuries (BDIs) and subsequent benign biliary stricture is a medical catastrophe which is associated with significant perioperative morbidity and mortality,reduced long-term survival rate and poor quality of life.For most major BDIs (Strasberg classification E1-E4),the recommended method of repair is hepaticojejunostomy (HJ).We conducted a retrospective review aiming to examine the surgical technique of high HJ at our institution.This review highlights 4 aspects in the operation which include the hepatoduodenal ligament exposure,hepatic artery and its branches protection,exposing the intrahepatic bile duct above the stricture plane,and HJ techniques.Overall,the optimal long-term result of surgical management depends on the availability of experienced hepatobiliary surgeons and a considerable large HJ anastomosis above the stricture. |
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| Keywords: | Biliary stricture benign Bile duct injuries iatrogenic Hepaticojejunostomy |
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