AIM:To summarize the experiences of treating bile ductinjuries in 40 years of clinical practice.METHODS:Based on the experience of more than 40 yearsof clinical work,122 cases including a series of 61 bile ductinjurie...AIM:To summarize the experiences of treating bile ductinjuries in 40 years of clinical practice.METHODS:Based on the experience of more than 40 yearsof clinical work,122 cases including a series of 61 bile ductinjuries of the Southwest Hospital,Chongqing,and 42cases(1989-1997)and 19 cases(1998-2001)of the GeneralHospital of PLA,Beijing,cases were reviewed with specialreference to the pattern of injury.A series of cases of theliver and the biliary tract injuries following interventionaltherapy for hepatic tumors,most often hemangioma of theliver,were collected.Chinese medical literature from 1995 to1999 dealing with 2742 traumatic bile duct strictures werereviewed.RESULTS:There was a changing pattern of the bile ductinjury.Although most of the cases of bile duct injuriesresulted from open cholecystectomy.Other types of traumasuch as laparoscopic cholecysiectomy(LC)and hepaticsurgery were increased in recent years.Moreover,serioushepato-biliary injuries following HAE using sclerotic agentssuch as sodium morrhuate and absolute ethanol for thetreatment of hepatic hemangiomas were encountered inrecent years.Experiences in how to avoid bile duct injuryand to treat traumatic biliary strictures were presented.CONCLUSION:Traumatic bile duct stricture is one of theserious complications of hepato-biliary surgery,itsprevalence seemed to be increased in recent years.Thepattern of bile duct injury was also changed and has becomemore complicated.Interventional therapy with sclerosingagents may cause serious hepatobiliary complications andshould be avoided.展开更多
文摘AIM:To summarize the experiences of treating bile ductinjuries in 40 years of clinical practice.METHODS:Based on the experience of more than 40 yearsof clinical work,122 cases including a series of 61 bile ductinjuries of the Southwest Hospital,Chongqing,and 42cases(1989-1997)and 19 cases(1998-2001)of the GeneralHospital of PLA,Beijing,cases were reviewed with specialreference to the pattern of injury.A series of cases of theliver and the biliary tract injuries following interventionaltherapy for hepatic tumors,most often hemangioma of theliver,were collected.Chinese medical literature from 1995 to1999 dealing with 2742 traumatic bile duct strictures werereviewed.RESULTS:There was a changing pattern of the bile ductinjury.Although most of the cases of bile duct injuriesresulted from open cholecystectomy.Other types of traumasuch as laparoscopic cholecysiectomy(LC)and hepaticsurgery were increased in recent years.Moreover,serioushepato-biliary injuries following HAE using sclerotic agentssuch as sodium morrhuate and absolute ethanol for thetreatment of hepatic hemangiomas were encountered inrecent years.Experiences in how to avoid bile duct injuryand to treat traumatic biliary strictures were presented.CONCLUSION:Traumatic bile duct stricture is one of theserious complications of hepato-biliary surgery,itsprevalence seemed to be increased in recent years.Thepattern of bile duct injury was also changed and has becomemore complicated.Interventional therapy with sclerosingagents may cause serious hepatobiliary complications andshould be avoided.
