胆管囊状扩张症手术失误及处理(附10例报告)  

Mistakes of surgical treatment of cystic dilation of bile duct and their management

作　　者：吴金术[1] 尹新民[1] 刘翔峰[1] 

机构地区：[1]湖南省人民医院肝胆外科,长沙市410002

出　　处：《中华肝胆外科杂志》2002年第4期216-218,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　纠正胆管囊状扩张症外科手术错误 ,提高正确处理技能。方法　回顾性分析近10年来收治的因外科手术错误而再手术的 10例病人 ,结合自己的经验 ,阐述正确处理胆管囊状扩张症外科治疗原则及手术技巧。结果　 10例病人 ,经再手术成功切除囊肿 ,平均随访 3 5年 ,效果满意。结论　胆管囊状扩张症外科治疗原则是彻底手术切除胆管囊肿 ,而不是囊肿引流。违背外科原则的各种手术都是错误的 ,应予废弃。Objective To correct the mistakes of surgical treatment of cystic dilation of bile duct to improve the correct management skill. Methods Through analysis of the clinical data of 10 patients with cystic dilation of bile duct surgically re-treated in our hospital due to mistakes in surgical management in the past 10 years, we explained the correct principle of surgical treatment and operational skills in treatment of cystic dilation of bile duct. Results The 10 cases accepting re-operation of cholecystectomy acquired satisfactory results in an average follow-up for 3.5 years. Conclusions The downright cholecystectomy but not cyst drainage is the principle of surgical management of cystic dilation of bile duct. All types of operations that rebel the principle are wrong and should be abandoned.

关 键 词：胆道疾病 胆管囊状扩张症 处理 

分 类 号：R657.4[医药卫生—外科学]