Role of quadrate lobe hepatectomy in the management of complex iatrogenic high biliary tract injury
10.3760/cma.j.cn113855-20220308-00132
- VernacularTitle:肝门腹侧肝脏切除治疗复杂医源性高位胆道损伤
- Author:
Haoquan WEN
1
;
Yan HUANG
;
Zhongzhi MA
;
Lishun YANG
;
Changjun LIU
;
Xinmin YIN
;
Xiaohui DUAN
;
Xianhai MAO
;
Chuang PENG
;
Jinzhu WU
Author Information
1. 湖南师范大学附属第一医院/湖南省人民医院肝胆外科，长沙 410000
- Keywords:
Bile ducts;
Iatrogenic diseases;
Hepatectomy
- From:
Chinese Journal of General Surgery
2022;37(9):646-650
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate partial ventral hepatectomy in the treatment of patients with complicated iatrogenic high bile duct injury.Methods:The clinical data of 8 cases of complicated iatrogenic high bile duct injury treated with the assistance of hepatic ventral segmentectomy from Mar 2013 to May 2020 at Hunan Provincial People's Hospital was retrospectively analyzed.Results:Among the 8 patients, 5 patients underwent partial Ⅳb lobectomy, and 3 patients received partial Ⅳb and Ⅴ segmentectomy of the liver. All the operation was successful without death in hospital. One case developed subphrenic infection and seroperitoneum, which was healed by anti-infection treatment and abdominocentesis. The postoperative follow-up time was 5-90 months, and all of patients are doing well. There was no stenosis in intrahepatic bile duct by postoperative cholangiography or MRI.Conclusions:Quadrate lobe hepatectomy provides a wide view for the treatment of complicated iatrogenic high bile duct injury by fully opening the first porta hepatis and exposing the primary and secondary bile duct branch helping establish a wide patent tension free bile duct-jejunostomy.
