摘要
胆道手术中留置T管被一直认为是“天经地义”。然而近年来,随着介入技术和手术技术的迅速发展,T管在胆道外科领域中的传统地位面临严重挑战。越来越多的外科医师对T管在胆道手术中的必要性提出质疑,认为在介入技术和医学影像技术高度发展的今天,以往被认为是胆道外科“护卫舰”的T管其作用日益局限,有必要对其重新认识。
出处
《中华肝胆外科杂志》
CAS
CSCD
2006年第9期592-593,共2页
Chinese Journal of Hepatobiliary Surgery
参考文献5
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2Grande L, Perez-CastiUa A, Matus D, et al. Routine use of the T tube in the biliary reconstruction of liver transplantation: is it worthwhile ? Transplant Proc, 1999,31:2396-2397.
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3Scatton O, Meunier B, Cherqui D, et al. Randomized trial of eholedochocholedochostomy with or without a T tube in orthotopie liver transplantation. Ann Surg, 2001,233:432-437.
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4Elola-Olaso AM, Diaz JCM, Gonzalaz EM, et al. Preliminary study of eholedochocholedochostomy without T tube in liver transplantation : a comparative study. Transplant Proc, 2005,37 :3922-3923.
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5Thethy S, Thomson BNJ, Pleass H, et al. Management of biliary tract complications after orthotopic liver transplantation. Clin Transplant, 2004,18:647-653.
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6Baeehella T, Figueira ERR, Makdissi FF, et al. Biliary reconstruction without T-tube in liver transplantation. Transplant Proc, 2004,36:951-952.
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10Kusano T, Randall HB, Roberts JP, et al. The use of stents for duct-to-duct anastomoses of biliary reconstruction in orthotopic liver transplantation. Hepatogastroenterology, 2005, 52 : 695-699.
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