The application of percutaneous transhepatic cholangioscopy in the treatment of benign bilioenteric anastomotic stricture:a report of 9 cases
10.3760/cma.j.cn112139-20210107-00013
- VernacularTitle:经皮经肝胆道镜治疗胆肠吻合口良性狭窄九例的临床效果
- Author:
Yi ZHU
1
;
Hua ZHAO
;
Minjie XIE
;
Liangping LI
;
Jing JIN
;
Jianying LOU
Author Information
1. 浙江大学医学院附属第二医院肝胆胰外科，杭州 310009
- Keywords:
Surgical stomas;
Postoperative complications;
Bilioenteric anastomotic stricture;
Percutaneous transhepatic cholangioscopy
- From:
Chinese Journal of Surgery
2021;59(4):289-292
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the feasibility and effectiveness of percutaneous transhepatic cholangioscopy(PTCS) in the treatment of bilioenteric anastomotic stricture after choledochojejunostomy.Methods:From April 2016 to April 2020, the clinical data of 9 patients (7 males and 2 females, aged 40-76 years) who underwent percutaneous transhepatic cholangioscopy(PTCS) for stricture expansion and lithotomy at Department of Hepatobiliary and Pancreatic Surgery, Second Affiliated Hospital of Zhejiang University School of Medicine were retrospectively analyzed. The operation was divided into two stages. In the first stage, ultrasound-guided percutaneous intrahepatic bile duct puncture was performed, and the sheath tube was inserted and fixed. In the second stage, percutaneous choledochoscopy was used for anastomotic stricture after sinus formation.The clinical outcome was evaluated by related biochemical indexes.Results:The operation time was (53.3±31.0)minutes(range:15-120 minutes).The postoperative hospital stay was (4.4±2.3)days(range:2-9 days).After systematic treatment, the preoperative symptoms, such as abdominal pain, jaundice, fever and shivering, disappeared in 8 patients. The range of alkaline phosphatase was 122-1 334 U/L before operation and 85-702 U/L after operation. The range of gamma glutamyl transpeptidase was 44-1 219 U/L before operation and 46-529 U/L after operation.Conclusion:PTCS is a safe and effective option for minimally invasive treatment of bilioenteric anastomotic stricture.
