高位胆管损伤的手术修复  

Injury of proximal hepatic bile duct and its surgical treatment management

作　　者：段伟东[1] DUAN Wei-dong(Department of Hepatobiliary Surgery,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院肝胆外科,北京100853

出　　处：《中国实用外科杂志》2018年第9期999-1003,共5页Chinese Journal of Practical Surgery

摘　　要：外科手术修复仍然是高位胆管损伤的主要治疗手段。外科医师术前应对胆管损伤进行准确评估,确定胆管损伤的分型,选择合理的手术时机和手术方式。胆管损伤的关键修复技术包括近胆管的显露、吻合口胆管的成型和微创化胆肠吻合等。成功的修复依赖于丰富的胆道外科经验和精准的胆道外科技术。Surgical repairment remains the main stay of treatment for the proximal hepatic bile duct injury. Surgeon should identify all the information related injury prior to making any definitive repair. The rational treatment strategy including the timing of repair and surgical methods should be formulated according to the injury type. The definitive repair involves a series of procedures including exposing the proximal bile duct above impaired site, trimming bile duct wall and biliary reshaping, minimally invasive anastomosis and so on. Successful management is a surgical challenge requiring great specialized experience and precise surgical skill.

关 键 词：胆管损伤 手术修复 

分 类 号：R6[医药卫生—外科学]