改良的经皮经肝胆道镜术治疗胆肠吻合术后复发性胆道梗阻

Improved percutaneous transhepatic cholangioscopy to treat recurrent obstruction after cholecysto-intestinal anastomosis

目的探讨改良经皮经肝胆道镜术的新方法及其临床应用价值。方法用改良PTCS方法治疗24例胆肠吻合术后复发胆道梗阻。结果手术全部成功,无手术并发症,所有病例随诊2年,无吻合口再次狭窄和复发性结石。结论对胆肠吻合术后再发性胆道梗阻的治疗,PTCS是最安全、简便、有效的方法。

【Objective】To explore the new technique and value of improved percutaneous transhepatic cholangioscopy.【Methods】The clinical data of 24 cases that applied the new method of improved PTCS to treat recurrent obstruction after cholecysto-intestinal anastomosis. 【Results】All operations were success without complication occurred. The follow up period was 2 years. In all cases without recurrent anastomotic stenosis and recurrent bile duct stones. 【Conclusion】PTCS is the safest, simplest, and most effective method in treating recurrent obstruction after cholecysto-intestinal anastomosis.