Surgical management of bile duct injury: a report of 683 cases
10.3760/cma.j.issn.1673-9752.2011.02.009
- VernacularTitle:683例胆管损伤的外科治疗
- Author:
Jinshu WU
;
Chuang PENG
;
Xianhai MAO
;
Wei CHENG
;
Jianhui YANG
;
Yunfeng LI
- Publication Type:Journal Article
- Keywords:
Bile duct injury;
Surgical treatment;
Damage control
- From:
Chinese Journal of Digestive Surgery
2011;10(2):107-109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the experience in surgical management of bile duct injury. Methods The clinical data of 683 patients with bile duct injury who were admitted to the Hunan People's Hospital from August 1990 to December 2008 were retrospectively analyzed. Of all the patients, seven received hepatectomy +T tube drainage, two received liver repair + T tube drainage, four received external biliary drainage + hepatectomy,27 received liver repair or hepatectomy + silicone support, 233 received temporary portal triad clamping + gelatin sponge hemostasis, 72 received biliary repair + T tube drainage, 248 received hepatobiliary basin Roux-en-Y anastomosis, 22 received external biliary drainage, 61 received long arm T tube drainage, two received pancreaticoduodenectomy and five received hepatectomy + T tube drainage. The surgical outcomes were evaluated by analyzing the results of the follow-up. Results The surgical outcomes were ranked excellent, good and poor according to the condition of patients and the results of imaging examination. Six hundred and twelve patients were followed up for 8 months to 19 years, and the surgical outcomes were excellent in 337 patients (55.1%), good in 214 patients (35.0%) and poor in 61 patients ( 10.0% ). Conclusion The surgical outcome of bile duct injury could be satisfactory if the approach of the surgery is properly selected.
