Round ligament approach to the repairement of hilar bile duct benign stricture
10.3760/cma.j.issn.1007-631X.2019.05.002
- VernacularTitle:肝圆韧带途径在肝门胆管良性狭窄中的应用
- Author:
Zengpeng SUN
1
;
Chuang PENG
;
Weimin YI
;
Jinshu WU
Author Information
1. 湖南省人民医院肝胆外科 湖南省人民医院胆道疾病研究室 湖南省胆道疾病防治临床医疗技术研究中心
- Keywords:
Constriction,pathologic;
Bile duct,intrahepatic
- From:
Chinese Journal of General Surgery
2019;34(5):381-383
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of round ligament approach in the bile duct benign stricture near porta hepatis.Methods Data of 62 patients treated in Hunan Provincial People's Hospital from Mar 2016 to Mar 2018 were retrospectively analyzed.Results Hepatolithiasis was the cause of bile duct benign stricture in 37 cases,followed by iatrogenic injury (12 cases),cholangio-intestinal anastomotic restenosis (7 cases),cystic dilatation of bile duct (4 cases) and bridge-shaped calculus (2 cases).We get access to the strictured bile duct near porta hepatis by way of round ligament,and hilar cholangioplasty and bilioenteric anastomosis was done at the porta hepatis.The surgery lasted an average of 230.3 minutes and with an average 196.8 ml blood loss.By Clavien-Dindo scoring system,there were Grade Ⅰ complications in 32 cases,Grade Ⅱ complications in 3.On follow-up survey,there were 3 patients with reflux cholangitis.Condclsion Round ligament is a gateway to hilar bile duct benign stricture in an attempt to make hilar cholangioplasty.
