Correct timing of bile duct injury repair
10.3969/j.issn.1001-5256.2017.02.010
- VernacularTitle:正确把握胆管损伤的修复时机
- Author:
Jian WANG
;
Sunwang XU
- Keywords:
bile duct diseases;
surgical procedures,operative
- From:
Journal of Clinical Hepatology
2017;33(2):260-262
- CountryChina
- Language:Chinese
-
Abstract:
Surgical operation is the most important method for the treatment of iatrogenic bile duct injury,and correct selection of the timing of surgical repair is a prerequisite for successful injury repair.This article elaborates on the timing of immediate repair of bile duct injury found during surgery and the timing of delayed repair of bile duct injury found after surgery and summarizes the timing and methods for delayed repair based on the location and manifestations of injuries (such as biliary obstruction,bile leakage,and injury in the choledocho-pancreatico-duodenal junction).It is pointed out that the pathological state of injury is the critical factor for deciding surgical timing.The overall tendency of the timing of repair is early repair,and delayed repair should be performed as early as possible within 2-4 weeks after effective control of inflammation.
