78例胆道再次手术的手术体会  

Experience of re-operation for 78 cases of biliary tract diseases

作　　者：曾翔辉[1] 刘羽[1] 苏晋捷[1] 

机构地区：[1]赣南医学院第一附属医院普外科,江西赣州341000

出　　处：《海南医学院学报》2013年第11期1566-1568,1572,共4页Journal of Hainan Medical University

基　　金：中国高校医学期刊临床专项资金项目(112210861)~~

摘　　要：目的:总结胆道再次手术的经验,探讨胆道再次手术的原因及手术相关问题。方法:对78例胆道再次手术的手术资料进行回顾性分析。结果:胆道再次手术的主要原因是结石因素,共46例;其次为胆道狭窄、胆囊残留及胆管肿瘤。再次手术的治疗方式以T管引流为主,共37例。其次为胆肠Roux-y吻合、肝叶切除术、及胆囊切除。结论:胆道再次手术原因复杂,手术难度大。充分的术前准备,选择合理的、个体化的手术方式,细致而熟练的胆道解剖技术是胆道再次手术成功的保证。Objective To summarize the experience of re-operation for biliary tract diseases, and to explore the reasons for re-operation and biliary surgery related problems. Methods.- Major reason for reop- eration of biliary tract diseases was biliary calculi （46 cases）, followed by narrowed biliary tract, gallblad- der and bile ducts residual and bile duct tumor. Re-operation treatment were mainly T-tube drainage （37 cases）, followed by biliary-enteric Roux-y anastomosis, liver resection, and cholecystectomy. Oonclusion.- Reoperations for biliary tract diseases caused by complex reasons are difficult. Comprehensive and individ- ualized surgical approach, as well as meticulous skills are bases for a successful operation.

关 键 词：胆道再次手术 胆管解剖 结石因素 胆道狭窄 

分 类 号：R657.4[医药卫生—外科学]