胆道再次手术100例原因分析

目的为降低胆道再手术率,分析胆道再次手术的原因。方法分析1996—2006年收治的100例多次胆道手术病人的临床资料,对其原因进行分析。结果65%的胆道再手术原因是结石复发或残留,括约肌狭窄、胰头部肿块型胰腺炎、胆道损伤后狭窄和胆肠吻合口狭窄占26%,胆道系统肿瘤占5%。结论胆道再次手术的主要原因仍是胆道结石残留或复发。降低胆道再次手术率的关键是手术方法的合理性和初次手术的彻底性。

Analysis of Factors Affecting Biliary Duct Reoperation in 100 Patients

Objective To investigate the causes of biliary tract reoperation in order to decrease the reoperation rate. Methods The clinical data of 100 patients who underwent reoperation of bliliary duct diseases between the year of 1996-2006 were evaluated, and the causes of reoperation were classified and analyzed.Results The main cause of reoperation was recurrent or retained bile stone (65%). The other causes included stenosis of the sphincter of Oddi, focalized pancreatitis of the head of pancreas, traumatic stricture of bile duct and stricture of bilioenteric anastomosis (25%), and bile duct obstruction due to tumor (5%).Conclusion Recurrent or retained bile duct stone is the main cause leading to biliary reoperation. Thoroughness of the initial operation and rationality of operative procedure are the chief factors to decrease bile duct reoperation.