医源性胆管狭窄：胆道外科之痛

Iatrogenic biliary stricture, a disastrous mistake in biliary surgery

损伤性胆管狭窄多是涉及胆道外科时医源性引起。其导致的严重后果仍然是胆道外科之痛。随着肝脏外科与移植外科的发展和LC的广泛应用，损伤性胆管狭窄的模式正在改变。将胆道系统作为一个整体器官来对待和更多地保存其生理功能的完整性，可能是治疗损伤性胆管狭窄的发展方向。文中介绍了我们简化胆管损伤和胆管狭窄分类的建议。

Traumatic biliary stricture, usually iatrogenic during biliary surgeries, is still a disastrous mistake because of its serious consequences. As the rapid development of hepatic surgery and liver transplantation and widespread use of laparo- scopic cholecystectomy, patterns of traumatic biliary stricture changes in result as more complicated. In the future, more will be expected from the changes of the view point that the biliary system is actually an organ rather than merely an excretory duct, and, further more, the preservation of integrity of physiological function of the biliary tract should be considered during surgical repair. A simplified classification of bile duct injuries and biliary stricture is presented for discussion.