Diagnosis, treatment, and prevention of iatrogenic distal common bile duct injury

VernacularTitle:医源性总胆管远段损伤的术中诊治与预防
Author: Gang LIANG ; Jinshu WU ; Changjun LIU
Publication Type:Journal Article
Keywords: Distal injury of the choledochus; Diagnosis; Treatment; Prevention
From: Chinese Journal of Hepatobiliary Surgery 2011;17(2):99-101
CountryChina
Language:Chinese
Abstract: Objective To review the diagnosis and causes of iatrogenic injury to the distal choledochus at operation. Method The case notes of the patients with bile duct injuries that were treated in my Department from 1990.2-2005.2 were reviewed. Results To detect distal bile duct injuries, a sound in the bile duct had an accuracy rate of 95 % while injection of water into the bile duct to detect leakage had an accuracy rate of 100%. Using a long arm T tube in the common bile duct was an effective method to treat the injury. In 18 patients with an average follow-up time of 20. 8 months, the results were satisfactory. Conclusions Injecting water into the bile duct to diagnose distal common bile duct injury at operation was an effective way to detect distal bile duct injury. Adequate exposure of the opeative field is the best method to prevent bile duct injury.