中国实用外科杂志2016，Vol.36Issue(10)：1078-1080,3.DOI:10.7504/CJPS.ISSN1005-2208.2016.10.15
二次胆肠吻合术23例临床分析及对策
Clinical analysis and strategies of 23 cases of secondary cholangioenterostomy
摘要
Abstract
Objective To explore the causes, method and surgical related complications of the secondary surgical procedure,and propose preventive strategies of the cholangioenterostomy-related serious postoperative complications. Methods The clinical data of 23 cases of secondary cholangioenterostomy performed from January 2012 to March 2016 in the Department of Hepatopancreatobiliary Surgery, the Second Affiliated Hospital of Zhejiang University were analyzed retrospectively. The clinical characteristics of cholangioenterostomy including causes, operative procedures and their complications were compared. Results The causes of secondary cholangioenterostomy mainly include anastomotic stricture (14 cases , 60.9% ), cholelithiasis (13 cases, 56.5% ), cholangitis (10 cases, 43.5% ). Secondary cholangioenterostomy is standardized as cholangiojejunostomy Roux-en-Y anastomosis and patients neither died in the perioperation nor need to receive operation again because of anastomotic stricture. Conclusion The causes of secondary cholangioenterostomy are diverse and complicated. Preoperatively, surgeons should follow the surgical indication strictly. Intraoperatively, cholangiojejunostomy Roux-en-Y anastomosis should be chosen and surgeons are required to remove the primary lesions (tumor, cyst, lithiasis,etc.) completely in order to prevent or reduce the cholangioenterostomy-related serious postoperative complications, and finally reduce the rate of reoperation.关键词
胆管空肠吻合/胆管十二指肠吻合/二次手术/吻合口狭窄/并发症Key words
cholangiojejunostomy/biliary-duodenal anastomosis/secondary operation/anastomotic stricture/complication分类
医药卫生引用本文复制引用
陈义刚,白雪莉,马涛,李国刚,高顺良,楼健颖,陈炜,孙培伟,梁廷波..二次胆肠吻合术23例临床分析及对策[J].中国实用外科杂志,2016,36(10):1078-1080,3.基金项目
国家自然科学基金面上项目（No.81171884）；浙江省自然科学基金（No.LY14H160034）；浙江省医药卫生科技计划 （）
