The "inserting" bilio-jejunostomy for iatrogenic bile duet injury
10.3760/cma.J.issn.1007-631X.2009.03.006
- VernacularTitle:插入式胆肠吻合术治疗医源性胆道损伤27例
- Author:
Xiaoping CHEN
;
Zhiwei ZHANG
;
Wanguang ZHANG
- Publication Type:Journal Article
- Keywords:
Anastomosis,surgical;
Wounds and injuries
- From:
Chinese Journal of General Surgery
2009;24(3):193-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the usefulness of the "inserting" bilio-jejunostomy for iatrogenic bile duct injury. Methods A retrospective analysis was performed on 27 cases with iatrogenic bile duct injury treated by the "inserting" bilio-jejunostomy in the past 11 years. Results Among the 27 patients, bile duct injury was caused by open cholecystectomy in 21 and by laparoscopic cholecystectomy in 6. The diameter of injuried bile ducts in all patients was less than 1 centimeter (0.3～0.8 cm ). The end of remnant bile duct 2～3 cm in length was completely inserted into the jejunum loop in 10 cases, while the anterior wall of the remnant bile duct inserted into jejunum loop with the posterior wall anastomosed with the jejumum conventionally in 17 cases. There was no biliary fistula nor stenosis occurred after the operation. Conclusions The "inserting" bilio-jejunostomy is a simple,safe and useful method, and this new surgical technique should be applied to patients with iatrogenic bile duct injury when bilio-enteric reconstruction was needed.
