The long-term results using an autologous vascularized pedicled flap of stomach tissues in the repair of traumatic bile duct strictures
10.3760/cma.j.issn.1007-8118.2017.05.008
- VernacularTitle:带血管蒂胃瓣组织修复损伤性胆管狭窄的长期疗效
- Author:
Yuhong WANG
;
Zhe LIU
;
Xin XIANG
;
Xiangfei MENG
;
Jing WANG
- Keywords:
Benign biliary stricture;
Iatrogenic bile duct injury;
Long-term outcomes;
Flap of stomach tissues;
Tissue repair
- From:
Chinese Journal of Hepatobiliary Surgery
2017;23(5):313-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the long-term results of using an autologous vascularized pedicled flap of gastric tissues in the repair of traumatic bile duct strictures.Methods From 2002 to 2016,38 patients with traumatic bile duct strictures underwent repair using an autologous vascularized pedicled flap of stomach tissues.The postoperative morbidity,mortality,long-term clinical results,liver function and the rate of biliary stricture recurrence were studied.Results The overall complication rate was 18.4％ (7/38).A delay in healing of the incision wound occurred in 4 patients,biliary fistula in 2,and ascites in 1.Two patients died of malignant tumor.The median follow-up was 92 (61 ～ 107) months and the follow-up rate was 100％.Excellent results were obtained in 97.2％ (35/36) of patients.Abnormal liver function was detected in 1 patient which improved with treatment using choleretic drugs.The remaining 35 patients had normal liver functions with absence of abdominal pain.Conclusions To repair traumatic bile duct strictures using an autologous vascularized pedicled flap of stomach tissues was safe and reliable,and good long-term outcomes are available.
