医源性胆管损伤胆肠吻合术手术要点  

Key points of bilioenterostomy in iatrogenic biliary duct injury

作　　者：别平[1] 何宇[1] 徐土炳[2] 

机构地区：[1]第三军医大学西南医院全军肝胆外科研究所中国人民解放军西南肝胆外科医院,重庆400038 [2]中国人民解放军第16医院普外科,新疆阿勒泰836500

出　　处：《中国实用外科杂志》2014年第10期917-919,共3页Chinese Journal of Practical Surgery

摘　　要：医源性胆道损伤后,胆肠吻合术是修复医源性胆道损伤的主要治疗手段之一。在术前应充分评估损伤情况,术中采用精细外科操作,包括剔除周围炎性瘢痕组织、修剪炎性坏死胆管组织、精细高位胆管整形及胆管空肠吻合术,成功的手术依赖丰富的胆道外科经验及技术。Bilioenterostomy is one of the major treatment in iatrogenic biliary duct injury. Preoperative damage condition should be evaluated fully.Accurate operation technique including eliminating inflammation and scarring tissue around the bile duct, trimming the inflammatory and necrosis bile duct tissues, the accurate bile duct reconstruction and bilioenterostomy should be adopted during the operation. A successful operation depends on rich experience in biliary surgery and technology.

关 键 词：医源性胆道损伤 胆肠吻合术 

分 类 号：R6[医药卫生—外科学]