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损伤性肝外胆管狭窄的外科治疗

王洪 林擎天

肝胆胰外科杂志2001,Vol.13Issue(1):14-15,2.
肝胆胰外科杂志2001,Vol.13Issue(1):14-15,2.

损伤性肝外胆管狭窄的外科治疗

Surgical treatment of traumatic extrahepatic bile duct stricture

王洪 1林擎天1

作者信息

  • 1. 上海市第六人民医院,
  • 折叠

摘要

Abstract

Objective:To evaluate the effectiveness of surgical treatment of traumatic extrahepatic bile duct stricture.Methods:A retrospective analysis of the clinical data of traumatic extrahepatic bile duct stricture in 25 cases was made.Results:High stricture was found in 13 cases,mid stricture in 11 cases and lower stricture in one case. The Roux-Y hepaticocholangiojejunostomy were performed in 22 cases,hepaticocholangioduodenostomy with jejunum interposition in 2 and side to side choledochoduodenostomy in 1 case. There was transient anastomotic leak in three cases,but were cured by negative pressure drainage. Follow-up for one year in all cases and for 5 years in 10 cases proves good.Conclusion:The operation should be performed within one month after acute cholangeitis was controled and the best operation mode was Roux-Y hepatico-cholangiojejunostomy.

关键词

创伤与损伤/胆管狭窄/外科手术

分类

医药卫生

引用本文复制引用

王洪,林擎天..损伤性肝外胆管狭窄的外科治疗[J].肝胆胰外科杂志,2001,13(1):14-15,2.

肝胆胰外科杂志

1007-1954

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