Journal of visualized surgery · 2017
Management for a complicated biliary stricture after iatrogenic bile duct injury.
СтатьяОбзорНазвание и аннотация: Перевод пока не подготовлен
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Suo Tao, Chen Ling, Liu Han, Ni Xiaoling, Shen Sheng, Wang Yueqi, Liu Houbao
Аннотация
Bile duct injury (BDI) remains to be a serious complication of biliary surgery. Biliary stricture is likely to occur in cases without proper management of BDI, may be causing such severe complications as repeated strictures, cholangitis or impairment to liver function. Here, we reported a 69-year-old man with a one-more-year history of recurrent cholangitis caused by iatrogenic BDI. The patient underwent a reconstruction of choledochojejunostomy, with liver quadrate lobectomy, and hilar cholangioplasty. The procedure was difficult, but the recovery was smooth. Only through comprehensive pre-operative evaluation and meticulous intraoperative manipulate, the technical challenge of re-operation for complicated biliary stricture after BDI should be easily addressed.