Surgical timing for complex bile duct injury

VernacularTitle:复杂胆管损伤手术时机的选择
Author: Wei CHEN ; Lijian LIANG
Keywords: bile duct injury; therapy; surgical timing
From: Journal of Clinical Surgery 2017;25(6):476-477
CountryChina
Language:Chinese
Abstract: Complicated bile duct injury greatly affects quality of patients' life and even threatens their life safety because it is difficult to be recognized and reconstructed,also with the poor surgical effect.Regarding to the surgical timing of complicated bile duct injury,it still have a big controversy.Here we would discuss the timing of surgeries for bile duct injury.We consider that it should be reconstructed when it is recognized during operation,even converted to laparotomy for laparoscopic surgeries.About postoperative cases,we think that it should be operated to explore damage range and reconstruct for those cases found within 48 hours and without obvious infection.However,reconstruction should be performed after 6 weeks for those found after 48 hours or with biliary duct infection.