Surgical strategies for the management of traumatic benign stricture of high bile duct
10.3760/cma.j.issn.1673-9752.2012.05.003
- VernacularTitle:损伤性高位良性胆管狭窄的外科治疗策略
- Author:
Shuyou PENG
;
Haoran QIAN
- Publication Type:Journal Article
- Keywords:
Biliary stricture,benign;
Bile duct injuries,iatrogenic;
Hepaticojejunostomy
- From:
Chinese Journal of Digestive Surgery
2012;11(5):408-410
- CountryChina
- Language:Chinese
-
Abstract:
Iatrogenic bile duct injuries (BDIs) and subsequent benign biliary stricture is a medical catastrophe which is associated with significant perioperative morbidity and mortality,reduced long-term survival rate and poor quality of life.For most major BDIs (Strasberg classification E1-E4),the recommended method of repair is hepaticojejunostomy (HJ).We conducted a retrospective review aiming to examine the surgical technique of high HJ at our institution.This review highlights 4 aspects in the operation which include the hepatoduodenal ligament exposure,hepatic artery and its branches protection,exposing the intrahepatic bile duct above the stricture plane,and HJ techniques.Overall,the optimal long-term result of surgical management depends on the availability of experienced hepatobiliary surgeons and a considerable large HJ anastomosis above the stricture.
