Selection of bile duct injury repair method based on proximal bile duct blood supply
10.3760/cma.j.issn.1673-4203.2017.10.020
- VernacularTitle:基于近侧胆管血供判断的胆管损伤修复术式选择
- Author:
Xinwen WEI
1
;
Ding LUO
Author Information
1. 昆明医科大学成都军区昆明总医院临床学院
- Keywords:
Bile ducts;
Reoperation;
Wounds and injuries;
Repair;
Cholangiojejunostomy;
Blood supply
- From:
International Journal of Surgery
2017;44(10):714-717
- CountryChina
- Language:Chinese
-
Abstract:
Surgical repair options of bile duct injury have been controversial.Clinical survey shows that high cholangiojejunostomy repairs have a better long term outcomes than end to end duct anastomosis or low cholangiojejunostomy repairs near to injured position,but the mechanism is not fully understood.With the depth understanding of blood supply changes of the injured proximal bile duct,it is believed that,in addition to the surgeon's experience,the severity of the injury,general or local condition of patient,the doctor should select specific surgical repair based on the blood supply of the injured proximal bile duct.