高位医源性胆道损伤6例报道

目的 对医源性的高位或难以复位的胆道损伤的处理进行探讨。方法 本组病例共６例均为医源性胆道损伤，手术方法以整复为主，辅以Ｒｏｕｘ－Ｙ、Ｔ管式Ｙ管引流支撑。结果 即时修复３例，死亡１例；延时修复３例，死亡２例。结论 早期修复优于引流后再修复。

Report of 6 cases about iatrogenic injury of high bile duct

Objective To study the management of iatrogenic and irretrievable injury of high bile duct.Methods 6 patients all suffered from iatrogenic injury of high bile duct.Main operative motheds were to reconstruct the injury bile duct,which is assisted by Roux Y,T or Y tube drainage. Results 3 cases were repaired in time,of ahich 1 died.3 cases were repaired later,of which 2 died.Conclusion The earlier repair is better than reconstruction operations after drainage.