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损伤性高位良性胆管狭窄的外科治疗策略
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
作者姓名:彭淑牖  钱浩然
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
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...

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
PENG Shu-you , 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
Authors:PENG Shu-you    QIAN Hao-ran
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.
Keywords:Biliary stricture,benign  Bile duct injuries,iatrogenic  Hepaticojejunostomy
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