中华肝胆外科杂志
中華肝膽外科雜誌
중화간담외과잡지
CHINESE JOURNAL OF HEPATOBILIARY SURGERY
2010年
9期
641-643
,共3页
胆管损伤%医源性损伤%修复%时机
膽管損傷%醫源性損傷%脩複%時機
담관손상%의원성손상%수복%시궤
Bile duct injury%Iatrogenic injury%Repair%Timing
医源性胆管损伤(BDI)手术修复后的远期疗效,受术者的经验,BDI的严重程度及近侧胆管的病理改变、手术方式及时机等多种因素的影响[1-2].但修复手术的时机存在争议.笔者对英文文献中关于术后发现的BDI的近侧胆管病理生理改变、手术时机及疗效的联系进行复习.结果 发现:决定BDI修复手术时机的重要因素是:近侧胆管的病理生理改变.
醫源性膽管損傷(BDI)手術脩複後的遠期療效,受術者的經驗,BDI的嚴重程度及近側膽管的病理改變、手術方式及時機等多種因素的影響[1-2].但脩複手術的時機存在爭議.筆者對英文文獻中關于術後髮現的BDI的近側膽管病理生理改變、手術時機及療效的聯繫進行複習.結果 髮現:決定BDI脩複手術時機的重要因素是:近側膽管的病理生理改變.
의원성담관손상(BDI)수술수복후적원기료효,수술자적경험,BDI적엄중정도급근측담관적병리개변、수술방식급시궤등다충인소적영향[1-2].단수복수술적시궤존재쟁의.필자대영문문헌중관우술후발현적BDI적근측담관병리생리개변、수술시궤급료효적련계진행복습.결과 발현:결정BDI수복수술시궤적중요인소시:근측담관적병리생리개변.
Long-term outcomes of surgical bile duct injury (BDI) repair are affected by multiple factors, such as surgeon's experience, severity of BDI, pathological changes of the proximal duct, and the manner and timing of surgical repair. However, the timing of BDI repair is still controversial still. In this article, the authors reviewed the correlation of pathophysiologic changes of the proximal duct, repair timing and outcome discussed in English references. It was shown that pathophysiologic changes of the proximal duct are a major contributor to the timing of BDI repair.