Magnetic compression anastomosis to restore biliary tract continuity after obstruction following major abdominal trauma:A case report  

作　　者：Miao-Miao Zhang Jie Tao Huan-Chen Sha Yun Li Xiao-Gang Song Oliver J Muensterer Fang-Fang Dong Li Zhang Yi Lyu Xiao-Peng Yan 

机构地区：[1]Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi Province,China [2]Shaanxi Provincial Key Laboratory of Magnetic Medicine,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi Province,China [3]National Local Joint Engineering Research Center for Precision Surgery&Regenerative Medicine,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an 710061,Shaanxi Province,China [4]Department of Pediatric Surgery,Dr.von Hauner Children’s Hospital,Ludwig-Maximilians-University Medical Center,Munich 80337,Germany

出　　处：《World Journal of Gastrointestinal Surgery》2024年第6期1933-1938,共6页世界胃肠外科杂志（英文版）（电子版）

基　　金：Supported by the Key Research&Development Program of Shaanxi Province of China,No.2024SF-YBXM-447(to Yan XP);the Institutional Foundation of The First Affiliated Hospital of Xi’an Jiaotong University,No.2022MS-07(to Yan XP);the Fundamental Research Funds for the Central Universities,No.xzy022023068(to Zhang MM).

摘　　要：BACKGROUND The combination of magnetic compression anastomosis(MCA)and endoscopy has been used to treat biliary stricture after liver transplantation.However,its use for the treatment of complex biliary obstruction after major abdominal trauma has not been reported.This case report describes the successful use of MCA for the treatment of biliary obstruction resulting from major abdominal trauma.A 23-year-old man underwent major abdominal surgery(repair of liver rupture,right half colon resection,and ileostomy)following a car accident one year ago.The abdominal drainage tube,positioned at the Winslow foramen,was draining approximately 600-800 mL of bile per day.During the two endoscopic retrograde cholangiopancreatography procedures,the guide wire was unable to enter the common bile duct,which prevented placement of a biliary stent.MCA combined with endoscopy was used to successfully achieve magnetic anastomosis of the peritoneal sinus tract and duodenum,and then a choledochoduodenal stent was placed.Finally,the external biliary drainage tube was removed.The patient achieved internal biliary drainage leading to the removal of the external biliary drainage tube,which improved the quality of life.CONCLUSION Magnetic compression technique can be used for the treatment of complex biliary obstruction with minimal operative trauma.

关 键 词：Magnetic compression anastomosis Magnetosurgery Endoscopy Magnetic Surgery Clinic Biliary obstruction Case report 

分 类 号：R656[医药卫生—外科学]