Rectification procedures for patients after nonstandard cholangioenterostomy and improper endoscopic retrograde biliary drainage
10.3760/cma.j.issn.1007-8118.2013.04.003
- VernacularTitle:不合理的胆肠内引流及支架植入术后再手术分析
- Author:
Jing HUANG
;
Caide LU
;
Shengdong WU
;
Changjiang LU
- Publication Type:Journal Article
- Keywords:
Biliary tract surgical procedures;
Cholelithiasis;
Stents;
Postoperative complications
- From:
Chinese Journal of Hepatobiliary Surgery
2013;(4):255-258
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the harm and the rectification procedures for patients who have received nonstandard cholangioenterostomy and improper endoscopic retrograde biliary drainage.Method The clinical data of 55 patients who had received nonstandard cholangioenterostomy and improper endoscopic retrograde biliary drainage seen at the Ningbo LiHuiLi Hospital between 2004.6 to2011.12 were retrospectively analyzed.Results There were 23 patients who had stones located intrahepatically which had not been dealt with in the previous operation; 16 patients received choledochoduodenostomy; 5 patients received side-to-side or side-to-end cholangiojejunostomy (with no division of the common bile duct) ; 2 patients developed anastomotic stricture after nonstandard cholangioenterostomy; 3 patients had a short efferent loop of jejunum; and 6 patients had improper endoscopic retrograde biliary drainage.Through reoperative rectification,all patients had satisfactory therapeutic outcomes.Conclusions For hepatolithiasis patients,nonstandard cholangioenterostomy and improper endoscopic retrograde biliary drainage not only cause harm to the patients,but also force patients to have a reoperation.Thus,following strict operative indications,choosing the right operation and improving on the operative skills are the keys to prevent a reoperation.
