Evaluation of therapeutic effects of bilioenterostomy
- VernacularTitle:胆肠内引流术式的选择与临床评价
- Author:
Qian WANG
;
Hui PENG
;
Jiefu HUANG
- Publication Type:Journal Article
- Keywords:
Bilioenterostomy;
Therapeutic effects;
Obstructive;
Jaundice
- From:
Journal of Clinical Surgery
2000;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the selection of the types of anastomosis of bilioenterostomy and evaluate the therapeutic effects.Methods From 1990 to 2000,536 patients with obstructive jaundice underwent bilioenterostomy in our hospital.The patients included 279 cases(52%) of hilar strictures with hepatolithiasis,108 cases(20%) of end stage periampullary tumors,96 cases(17%) of proximal cholangiocarcinoma and 53 cases(12%) of congenital choledochus cyst.The types of anastomosis included extra or hilar hepatic bilioenterostomy in 302 cases(56%),intra hepatic duct anastomosis with different type of hepatectomy in 222 cases(42%),of which 44 cases(8%) were anastomosed by roud ligament approch,27 cases(5%) through gallbladder fossa.Results The short term and 1～9 years long term follow up indicated that the jaundice of different patients can be completed relieved by suitable type of bilioenterostomy.Conclusions The good therapeutic effects of bilioenterostomy come from the correct selection of the anastomosis methods.
