摘要
目的 探讨胆道再次手术原因,以减少再次手术。方法对1997年1月～2002年8月间胆道再次手术55例病例作回顾性研究。结果 再次手术的原因多为肝内胆管结石,为31例,占全组病例的56.4％,其余为单纯胆总管结石8例,先天性胆总管囊肿3例,胆囊结石并胆总管结石3例,胆管癌3例,缩窄性乳头炎3例,胆瘘3例,胆囊残株炎1例。再次手术以胆—肠吻合内引流术为主。结论 胆道再手术有疾病本身的特点,也有医源性的原因。部分胆道再次手术是可避免的。
Objective To investigate reasons of reoperation of biliary tract for minimizing its rate of reoperation. Methods From January 1997 to Augest 2002, 55 cases with reoperation of biliary tract had been studied retrospectively. Results Intrahepatic cholelithiasis was the most common reason for the reoperation (31cases, 56 -4% ) . other reasons were choledocolithiasis in 8 cases, congenital cyst of common bile duct 3 cases, cholecystolithiasis associated with choledocholithiasis 3 cases, carcinomia of bile duct 3cases, constric-tive papillitis 3cases, bile fistula 3 cases, cholecystitis of stump 1 cases. Main operative procedure was choledo-co-jejunostomy for reoperation of biliary tract. Conclusion The reoperation of biliary tract has disease own characteristic and there are also iatrogenic reasons. So the partial reoperations can be avoided.
出处
《岭南现代临床外科》
2003年第1期31-32,共2页
Lingnan Modern Clinics in Surgery
关键词
胆道
再次手术
回顾性研究
Biliary tract
Reoperation
Retrospective study
