Curative effect of choledo-choledochostomy in different operations

VernacularTitle:不同手术应用胆管对端吻合术疗效分析
Author: Jie HUANG ; Jie ZHANG ; Daguang TIAN
Publication Type:Journal Article
Keywords: Biliary tract surgery; Iatrogenic bile duct injury; Liver transplantation; Choledo- choledocbostomy
From: Chinese Journal of Hepatobiliary Surgery 2009;15(9):667-670
CountryChina
Language:Chinese
Abstract: Objective To discuss the curative effect of Choledo-choledochostomy by observing different means of biliary duct reconstruction in the iatrogenic bile duct damage and the liver trans-plant. Method The clinical data of 19 patients who were found to have iatrogenic bile duct injury dur-ing operation and immediately repaired and 66 patients receiving liver transplantation in our hospital in the past 10 years were retrospectively analyzed. Meanwhile, the means for bile duct reconstruction were discussed. Results The rate of curative effect of the Choledo-choledochostomy was 86.6% for iatrogenie bile duct injury. However, whether to leave the T-tube or not was not a determinant factor for the procedure in liver transplantation (P>0. 05). Conclusion Choledo-choledochostomy has good curative effect for iatrogenic bile duct injury and liver transplantation. During the operation, the bile duct may not be excessively freed to guarantee blood supply in at the anastomosis site to further en-hance the curative effect.