Diagnosis and treatment of penetrating injury in distal segment of common bile duct during biliary tract exploration

VernacularTitle:胆道探查术中胆总管下端穿通伤15例诊治分析
Author: Lixue DU ; Yu ZHANG ; Wujun WU ; Xilin GENG ; Hui LI ; Qingguang LIU
Publication Type:Journal Article
Keywords: Common bile duct diseases; Biliary tract surgical procedures
From: Chinese Journal of General Practitioners 2009;8(7):488-489
CountryChina
Language:Chinese
Abstract: Clinical data of 15 patients with penetrating injury in the distal segment of the common bile duct during biliary tract exploration were retrospectively analyzed.Nine injuries were found during the surgical procedures and successfully treated with common bile duct T tube and peritoneal drainage before discharged from the hospital (mean hospitalization time 16 days).Six penetrating wounds were found post-operatively, and underwent another operation.Four patients were fully recovered at 8 to 12 weeks, and 2 died from multiple organ failure caused by infectious shock.Our investigation suggests that for the penetrating injury in the distal part of the common bile duct, early diagnosis, proper management and effective draining may improve the survival of the patients and avoid serious complications.