关键词: 胆肠吻合术, 胆管狭窄, 胆管损伤, 胆管整形

Abstract:

Causes and treatment strategies of multiple bilioenterostomies        ZHENG Shu-guo. Institute of Hepatobiliary Surgery of PLA, Southwest Hospital, the Third Military Medical University, Chongqing 400038, China
Abstract    As one of the most common techniques in the biliary tract reconstruction, bilioenterostomy is applied in the treatment of benign or malignant biliary diseases. While in clinical practice, multiple operations may be needed due to failure in some cases, which severely influenced the efficacy of bilioenterostomy. The causes and treatment strategies of multiple bilioenterostomies based on the experiences of the author and related literatures include anastomotic strictures, residual lesions above the anastomotic stoma, canceration of bile duct or tumor recurrence. Preoperative preparation and evaluation, optimal surgical opportunity selection, individualized surgical planning, emphasis on details of operation and improvement of postoperative management are important for the success of operation.

Key words: bilioenterostomy, biliary stricture, bile duct injury, bile duct plasty