Early bile duct to bile duct end-to-end(side) anastomosis for bile duct injuries: an analysis of 25 patients

VernacularTitle:一期胆管吻合术在胆管损伤修复中的应用
Author: Xiaobin LIAO ; Liqiong LUO ; Lei BAI
Publication Type:Journal Article
Keywords: Bile duct injuries; Cholecystectomy; End-to-end(side) anastomosis
From: Chinese Journal of Hepatobiliary Surgery 2013;(6):438-440
CountryChina
Language:Chinese
Abstract: Objective To study the use of early bile duct to bile duct end-to-end(side) anastomosis for extrahepatic bile duct injuries.Methods The clinical data of 25 patients with extrahepatic bile duct injuries with early bile duct to bile duct end-to-end(side) anastomosis were retrospectively analyzed.Results Bile duct injuries happened in laparoscopic cholecystectomy (n=17),laparoscopic exploration of common bile duct (n=1),laparotomy (n=5),and knife wound (n=2).All of the repairs were successfully carried out.Except for one patient who was lost to follow-up,the other patients were followed for over 2 years.There was no bile duct stenosis.One patient died after 5 months of repair in other hospital because of a recurrent bile duct calculus.Conclusions Early bile duct to bile duct end-to-end(side) anastomosis had a good long-term results.The operation needs to be done by a good surgeon or supervised by an experienced specialist in biliary surgery.A prolonged period of T tube stenting is a prerequisite for success.