Early diagnosis and treatment of 16 cases with iatrogenic bile duct injury
- VernacularTitle:医源性胆管损伤16例早期诊治分析
- Author:
Shengkai CHEN
- Publication Type:Journal Article
- Keywords:
Iatrogenic bile duct injury;
Diagnosis;
Treatment
- From:
Journal of Chongqing Medical University
2003;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the early diagnosis and treatment of iatrogenic bile duct injury.Methods:The clinical data of 16 patients with iatrogenic bile duct injury from July 1997 to September 2009 were analyzed retrospectively.The clinical types of the bile duct injuries:BismuthⅠ(5 cases),BismuthⅡ(9 cases),Bismuth Ⅲ(0 case),Bismuth Ⅳ(2 cases),BismuthⅤ(0 case).The treatment of the bile duct injuries:Roux-enY biliary-enteric anastomosis with stent tube drainage(6 cases),bile duct suture without T tube drainage(2 cases),bile duct suture with T tube drainage(3 cases),bile duct repair utilizing umbilical vein with T tube drainage(1 case),bile duct repair utilizing cystic duct with T tube drainage(2 cases),single drainage of abdominal cavity(2 cases).Results:All patients had been followed up for 3 months to 12 years.11(68.8%,11/16)cases obtained better effect,while the other 5(31.2%,5/16)cases received second operation because of unsatisfactory effect.Conclusion:Early diagnosis and correct treatment of iatrogenic bile duct injury are necessary for better effect.Otherwise,the effect will be unsatisfactory.Both bile duct suture or repair with T tube drainage and Roux-en Y biliary-enteric anastomosis with stent tube drainage are better treatment in the early stage of iatrogenic bile duct injury.
