临床肝胆病杂志2012，Vol.28Issue(4)：296-298,3.
多次胆道术后再次胆道手术的临床分析
Clinical analysis of biliary duct reoperation after biliary duct multiple operations
朱自满 1焦华波 1王大东 1李涛 1张文智1
作者信息
- 1. 解放军总医院第一附属医院肝胆外科,北京100048
- 折叠
摘要
Abstract
Objective To summarize the causes, clinical features and therapeutic experiences of biliary duct reoperation after biliary duct multiple operations. Methods Retrospective study of 9 patients were included who underwent biliary duct reoperation after at least 3 biliary duct operations between March 2009 and September 2011 in our hospital. Results The causes of reoperation were bile duct stricture in 6 cases( 66.7% ) and recurrent bile duct stones with cholangitis in 3 cases( 33.3% ). 8 patients underwent Roux - en - Y hepaticojejunosto-my ,and one of them received left lateral hepatectomy. One patient received pedicled gastric wall. Follow - up in 9 patients for 3 -18 months found no cases of biliary duct infection and significant abnormal liver function. Conclusion The main cause of biliary duct reoperation after biliary duct multiple operations was bile duct stricture. For those complicated cases, preoperative evaluation of patient's condition was accurately done by imageology, optimal choice of surgical procedures, excellent surgical skills and meticulous peri - operative period management were keys to success.关键词
胆道外科手术Key words
biliary tract surgical procedures分类
医药卫生引用本文复制引用
朱自满,焦华波,王大东,李涛,张文智..多次胆道术后再次胆道手术的临床分析[J].临床肝胆病杂志,2012,28(4):296-298,3.
