关键词: 胆管损伤, 再狭窄, 多学科综合治疗协作组

Abstract:

Main points of the iatrogenic bile duct injury repair and repair of restenosis after treatment        LIANG Li-jian.Department of Hepatobiliarypancreatic Surgery，the First Affiliated Hospital of Sun Yat-sen University，Guangzhou 510080，China
Abstract    Bile duct injury （BDI） becomes a serious iatrogenic complication of hepatobiliary surgery. The incidence of BDI presents an ascending trend resulting from the rapid development of laparoscopic cholecystectomy. Surgery remains the primary treatment of BDI and a successful repair of BDI should be performed by an experienced senior hepatobiliary surgeon. As recurrence of biliary stricture are common after repair of BDI，a close follow-up and multidisciplinary treatment team consist of hepatobiliary surgeon，gastrointestinal surgeon，endoscopists and interventional radiologist is recommended to make a comprehensively cooperative diagnostic and therapeutic plan. Either hepatectomy or liver transplantation can achieve a satisfactory long-term outcome in certain subsets of BDI patients.

Key words: bile duct injury, restenosis, multi-disiplinary team