带胆囊动脉的胆囊瓣修复胆管狭窄

To restore incommodious bile duct by gallbladder one (lamella) with cystic artery

目的 探讨用带胆囊动脉的胆囊瓣修复胆管狭窄的手术方法。方法 利用带胆囊动脉的胆囊瓣修制成半管状、管状的胆囊瓣修复胆管狭窄。结果 修复 11例胆道狭窄中 ,2例并发胆瘘 ,经 2～ 3周后治愈 ,其余均获得满意效果。结论 本术式基本保持正常的肝内、外胆管结构及正常的胆道环境 ,具有抗胆汁返流和逆行感染等优点 ,是一种较为理想的术式。

Objective To probe into the surgical operation method of restoring incommodious bile duct by gallbladder one (lamella) with cystic artery.Methods Incommodious bile duct was restored by making gallbladder one (lamella) with cystic artery into half-cannular or cannular gallbladder one (lamella).Result Among the 11 surgical operation cases,2 cases were complicated with intercurrent cystic fistula and cured after 2～3 weeks.The remaining all obtained the satisfactory outcome.Conclusion This surgical procedure can keep the configuration of the intra-and extra-hepatic bile duct and the normal cystic condition,prevent the refluence of bile and converse infection,suggesting it is an ideal surgical operation method.