带蒂脐静脉瓣修复Mirizzi综合征胆管缺损35例体会  

The use of a pedicled umbilical vein graft to repair the defect in the bile duct in Mirizzi＇s syndrome： a study of 35 patients

作　　者：曹登科[1] 张虎[1] 刘海威[1] 

机构地区：[1]三峡大学附属仁和医院肝胆外科,宜昌443001

出　　处：《中华肝胆外科杂志》2011年第9期738-740,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的总结带蒂脐静脉瓣修复Mirizzi综合征胆管缺损的经验。方法回顾性分析35例采用带蒂脐静脉瓣修复Mirizzi综合征（II型19例、Ⅲ型15例，Ⅳ型1例）的临床资料。结果全组无死亡病例，术后发生胆漏5例，经1～3周引流后痊愈。全部病例拔管后均获6个月的随访，有27例随访达3年，未见明显胆道并发症发生。结论利用带蒂脐静脉瓣修复Mirizzi综合征胆管缺损方法简单、效果较好。Objective To review our experience in the use of a pedicled umbilical vein graft in the repair of the defect in the bile duct in Mirizzi＇s syndrome. Methods This is a retrospective study on the use of a pedicled umbilical vein graft to repair the defect in the bile duct in 35 patients with Mirizzi＇s syndrome. These patients suffered for Mirizzi＇s syndrome type II in 19 patients, type III in 15 patients, and type IV in 1 patient. Results There was no peri-operative death. Five patients developed postoperative biliary leak which healed spontaneously after drainage of the bile collection. All patients had been followed up for at least 6 months, and 27 patients bad been followed up for 3 years. There was no biliary complication. Conclusions Bile duct reconstruction with a pedicled umbilical vein graft is simple. It is a good procedure to repair the defect in the bile duct in Mirizzi＇s syndrome.

关 键 词：MIRIZZI综合征 胆道缺损 带蒂脐静脉 外科修复 

分 类 号：R657.4[医药卫生—外科学]