| 皮下通道型肝囊肝胆管成形术治疗肝胆管结石和狭窄 |
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| 引用本文： | 田伏洲 赵铁军. 皮下通道型肝囊肝胆管成形术治疗肝胆管结石和狭窄[J]. 中华外科杂志, 1997, 35(1): 28-30 |
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| 作者姓名： | 田伏洲 赵铁军 |
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| 作者单位： | 解放军成都军区总医院全军普外中心 |
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| 摘 要： | 为了解决传统的胆肠吻合术治疗肝胆和这结石所存在的各种不足，如返流性胆管炎、胃肠分泌功能紊乱等，作者设计了一种术式：即皮下通道型肝囊肝胆一管成形术。在清除结石、打开肝门胆管狭窄环，并作好整形以后，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到切口皮下。
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| 关 键 词： | 胆结石 外科手术 肝内胆管结石 |
Hepaticocholangiochole cystostomy plus construction of subcutaneous tunnel of the gallbladder in the treatment of hepatolithiasis with bile duct stricture] |
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| F Tian,T Zhao,J Hu. Hepaticocholangiochole cystostomy plus construction of subcutaneous tunnel of the gallbladder in the treatment of hepatolithiasis with bile duct stricture][J]. Chinese Journal of Surgery, 1997, 35(1): 28-30 |
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| Authors: | F Tian T Zhao J Hu |
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| Affiliation: | PLA Centre of General Surgery, Chengdu General Hospital, Chengdu. |
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| Abstract: | A novel operation was designed by using Hartmann's pouch of the gallbladder to anastomose stone-strictured intrahepatic bile duct while leaving the common bile duct and Oddis sphincter intact and fixing the fundus of the bladder subcutaneously. 28 patients with intrahepatic bile duct stones and strictures underwent the operation successfully, and recovered well. There were no postoperative complications such as reflux cholangitis or disturbances of GI tract. |
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