关键词: 医源性胆管损伤, 胆肠吻合, Strasberg分型

Abstract:

Strategy and key elements of reoperation for iatrogenic bile duct injury        ZHANG Yong-jie，WANG Xiang. No.2 Department of Biliary Surgery, Eastern Hepatobiliary Surgery Hospital, the Second Military Medical University, Shanghai 200438, China
Corresponding author：ZHANG Yong-jie, E-mail:510531179@
qq.com
Abstract    Iatrogenic bile duct injury is one of the most serious complications after cholecystectomy. Most patients require surgical repairs，mainly including primary repair and repeated repair. Preoperative patient preparation is essential to control inflammation or intra-abdominal fluid collection，restore the nutritional status，and improve the functional status. The management of bile duct injuries will depend on the nature and the extent of injury，which can be precisely evaluated by Strasberg classification system. Surgeons should follow the basic biliary-enteric anastomsis principles to achieve optimal outcomes. The key steps for repair include adhesion clearance，hilas exposure，and biliary reconstruction. There is a need to not only use widely accepted standards but also to assess the long-term biliary patency.

Key words: iatrogenic bile duct injury, biliary-enteric anastomosis, Strasberg classification