胆胰肠结合部医源性损伤及其防治策略

Emphasis on prevention and management strategy of iatrogenic injury in choledocho-pancreatico-duodenal junction

广义的胆胰肠结合部包括远端胆管、胰管、十二指肠及周围血管神经,解剖关系复杂,极易在术中引起医源性损伤,因此需要深入认识胆胰肠结合部医源性损伤的发生机制及诊疗策略。胆胰肠结合部损伤的早期诊断、合理治疗以及围手术期的有效预防,可显著降低胆胰肠结合部医源性损伤的发生率及病死率。

Generalized choledocho-pancreatico-duodenal junction includes distal bile duct, pancreatic duct, duodenum, peripheral blood vessels and nerves, which has a complex anatomical composition, can easily be damaged during operation. Therefore it requires further research in pathogenesis, diagnosis and management of iatrogenic injury of eholedoeho-pancreatieo-duodenal junction. By the effective prevention, early diagnosis and proper management during perioperation, morbidity and mortality of iatrogenic injury of choledocho-pancreatico-duodenal junction can be reduced significantly.