摘要
目的探讨胆道结石再手术原因、术式及处理方法。方法回顾性分析了自2005～2010年间在我院进行胆道取石手术461例病人,其中共有110例(23.8%)胆道结石再手术病例的临床资料。结果:手术主要原因为结石残留或复发、胆管感染、胆管狭窄及内科ERCP取石困难或失败者等。再次手术方式以胆总管切开T管引流术、胆肠Roux-Y吻合术、肝左外叶切除术等。结论:完善的术前检查、应用多种方法彻底清除结石、选择合理的手术方式及术中严格遵循手术原则,是手术成功、降低结石复发率的关键。
Objective To discuss the causes, surgical procedures and perioperative managements of biliary calculi reopera- tions. Methods A total of 461 patients who had received choledocholithotomy from 2005 to 2010 were analyzed retrospectively. A- mong them, 110 patients （23.8%） had underwent reoperations for the recurrence of common bile duct calculus. The corresponding clinical data were collected and analyzed. Results The main cause for reoperation is residual or recurrent calculi, biliary tract infection, biliary stricture and fail in ERCP. The means of reoperations include choledochotomy with T-tube drainage, Roux-en-Y anastomosis and left lateral lobectomy of liver. Conclusions Well-done preoperative examination, appropriate surgical option and strict operation are the key factors of successful reoperation.
出处
《肝胆外科杂志》
2013年第2期116-119,共4页
Journal of Hepatobiliary Surgery
关键词
胆道结石
复发
再手术
胆道感染
Biliary calculi
recurrence
reoperations
biliary tract infection
