关键词: 医源性损伤, 胆道

Abstract:

Primary repairing for iatrogenic injury of bile duct: a study of 31 cases         HUANG Qiang, LIU Chen-hai, WANG Cheng, et al. Group of Biliary-Pancreatic Diseases, Department of General Surgery，Anhui Province Hospital, Hefei 230001, China
Corresponding author：HUANG Qiang, E-mail：liuchenhai001@163.com
Abstract    Objective    To explore the experience of primary repairing for iatrogenic injury of bile duct. Methods    The clinical data of 31 cases of primary repairing for iatrogenic injury of bile duct admitted from January 2004 to June 2010 in the Department of General Surgery of Anhui Province Hospital were analyzed and summarized retrospectively. Results Four cases were found and repaired by biliary tract repairing and drainage during the first operation. Six cases of iatrogenic injury of bile duct combined with bile peritonitis were performed abdominal and biliary drainage firstly and then performed Roux-en-Y bile duct-jejunostomy after 2 months. Twenty-one cases combined with jaundice were performed Roux-en-Y bile duct-jejunostomy. Among them, injury repairs in 5 cases were performed within 10 days. Sixteen cases were performed in 10 days after the repairing. The former operation took more time than the latter (P<0.05). No postoperative bile leakage occurred. Twenty-eight cases were followed up for 4-60 months. Two cases occurred anastomotic stenosis after one year. The restoration success rate was 92.9% (26/28). Conclusion    Repairing bile duct injuries need to be performed by biliary surgical specialists. The obstruction of bile duct injury should be performed operation after 10 days easier than within 10 days. Roux-en-Y bile duct-jejunostomy is the best surgical procedure for iatrogenic injury of bile duct

Key words: iatrogenic injury, bile duct