Clinical selection of surgical methods for pure stenosis at the end of common bile duct: a report of 43 cases
10.3760/cma.j.issn.1007-8118.2010.11.006
- VernacularTitle:单纯胆总管下段狭窄临床治疗选择:附43例报告
- Author:
Jiaqi LI
;
Sen LI
;
Futian DU
;
Guanyi ZHUANG
;
Chunyou LI
;
Chengwei DONG
;
Yulin GUO
- Publication Type:Journal Article
- Keywords:
Common bile duct;
Stenosis;
Surgery
- From:
Chinese Journal of Hepatobiliary Surgery
2010;16(11):820-822
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical selection of surgical methods for pure stenosis at the end of the common bile duct.Methods The clinical data of 43 cases of pure stenosis at the end of the common bile duct treated in this hospital from October 2003 to June 2009 were retrospectively analyzed.Of the 43 cases, 12 underwent endoscopic sphincterotomy(EST), 9 sphincteroplasty of Oddi, 5 pancreaticoduodenectomy,8 Roux-en-y choledochojejunostomy and 5 choledocoduodenostomy,4 underwent drainage of the T tube after exploration of the biliary passage.Results Among 37 patients did not undergo the radical pancreaticoduodenectomy,6 had space-occupying lesions 5-19 months postoperatively.Five of them received pancreaticoduodenectomy again.Conclusion Pure stenosis at the end of the common bile duct should be carefully managed.
