Clincal analysis of biliary duct reoperation in 71 patients

VernacularTitle:胆道再次或多次手术71例临床分析
Author: Bangjun CHENG ; Longxiang ZHOU ; Yefeng WU ; Dengqiu ZHAO
Publication Type:Journal Article
Keywords: Biliary tract surgery; Biliary calculi; Reoperation; Biliary tract diseases
From: Clinical Medicine of China 2011;27(2):205-208
CountryChina
Language:Chinese
Abstract: Objective To explore and analyse the causes of reoperation after biliary duct operation, so as to decrease the reoperation rate of biliary tract. Methods Clinical data of 71 patients who underwent reoperation of biliary duct diseases in our hospital between January 2005 to September 2010 were analysed,and the causes of biliary duct reoperation were summarized and analysed. Results The main cause of reoperation was recurrent or retained bile stone (76.1%,54/71), noncalculous stenosis of biliary tract ( 15.5 %, 11/71 ),biliary tract obstruction due to tumor (4.2%,3/71), and other factors (4.2%,3/71).Conclusion Recurrent or retained bile duct stone were the main cause for biliary reoperation, but noncalculous stenosis of biliary tract and biliary tract obstruction due to tumor could not be ignored. The initial rational operative method, approporiate operation time and the thoroughness of operation are the key factors to decrease bile duct reoperations.