医源性胆管损伤的病理生理改变与手术时机

Pathophysiological changes and operative timing of iatrogentic biliary tract injury

医源性胆管损伤（BDI）手术修复后的远期疗效,受术者的经验,BDI的严重程度及近侧胆管的病理改变、手术方式及时机等多种因素的影响[1-2].但修复手术的时机存在争议.笔者对英文文献中关于术后发现的BDI的近侧胆管病理生理改变、手术时机及疗效的联系进行复习.结果 发现：决定BDI修复手术时机的重要因素是：近侧胆管的病理生理改变.

Long-term outcomes of surgical bile duct injury （BDI） repair are affected by multiple factors, such as surgeon＇s experience, severity of BDI, pathological changes of the proximal duct, and the manner and timing of surgical repair. However, the timing of BDI repair is still controversial still. In this article, the authors reviewed the correlation of pathophysiologic changes of the proximal duct, repair timing and outcome discussed in English references. It was shown that pathophysiologic changes of the proximal duct are a major contributor to the timing of BDI repair.