CAJ | 학술논문

目的:探讨再次胆道手术的原因,以期总结对策,降低再次手术率.方法:对73例行再次胆道手术患者的临床资料进行回顾性分析.结果:再次胆道手术的主要原因是结石残留或结石复发,占71.23%(52/73).其次是医源性原因占13.70%(10/73),其中,内镜治疗不成功占40%(4/10),胆管损伤及残余胆囊各占30%(3/10),良性胆道狭窄占4.11%(3/73).结论:再次胆道手术的主要原因仍是结石残留或结石复发;其次,内镜治疗不成功及损伤性胆管狭窄等医源性因素不容忽视,前次手术的彻底性及术式的合理应用是减少胆道再手术的关键.
목적:탐토재차담도수술적원인,이기총결대책,강저재차수술솔.방법:대73례행재차담도수술환자적림상자료진행회고성분석.결과:재차담도수술적주요원인시결석잔류혹결석복발,점71.23%(52/73).기차시의원성원인점13.70%(10/73),기중,내경치료불성공점40%(4/10),담관손상급잔여담낭각점30%(3/10),량성담도협착점4.11%(3/73).결론:재차담도수술적주요원인잉시결석잔류혹결석복발;기차,내경치료불성공급손상성담관협착등의원성인소불용홀시,전차수술적철저성급술식적합리응용시감소담도재수술적관건.
Objective:To investigate the causes of reoperation after biliary tract surgical intervention, in order to decreasing the rate of biliary tract reoperation. Methods:A retrospective study in 73 patients undergoing biliary tract reoperation was carried out. Results:The main reason of reoperation was residual or recurrence bile duct stone (71.23% ,52/73).The second was iatrogenic reason (13.70%,10/73),which the endoscopic treatment unsuccessful accounted for 40%(4/10), bile duct injury and residual gallbladder were both 30%(3/10). And benign biliary stricture (4.11%,3/73).Conclusions:Residual or recurrence bile duct stone was the main cause for biliary tract reoperation, also the iatrogenic reason such as endoscopic treatment unsuccessful and traumatic bile duct stenosis was indispensable. Thoroughness of the previous operation and rationality of operative procedure are the keys to decrease biliary tract reoperations.