Objective: To explore the relationship between clinical result and the length of jejunal segment for cholangiojejunostomy. 目的:探索胆肠吻合术中肠袢长度与临床效果之间的关系。
Nonstandard cholangiojejunostomy not only causes pain for patients, but also forces patients to suffer re-operation. 不规范的胆肠吻合术不仅给患者造成痛苦,而且必须再次手术纠正。
Intrahepatic cholangiojejunostomy through round ligament approach in the management of malignant obstructive jaundice 恶性梗阻性黄疸病人经圆韧带途径肝内胆管空肠吻合术
Methods ET and TNF levels of 36 patients with MOJ were measured before and after cholangiojejunostomy ( CJ) or external bile drainage ( EBD). 方法测量36例恶性梗阻性黄疸病人内外引流术的手术前术后血清ET和TNF水平。
Methods A retrospective analysis was made om the clinical data of 12 cases of reoperation after Roux-Y cholangiojejunostomy. 方法对12例胆肠Roux-Y吻合术后再次手术的患者进行回顾性分析。
Non-operative therapy of anastomotic stenosis after cholangiojejunostomy 胆肠吻合术后吻合口狭窄的非手术治疗
On the basis of pathological injury degree, variant operative methods were adopted such as cholecystectomy, subtotal cholecystectomy, direct repair of biliary duct fistula, repair of bile duct fistula with vascularized gallbladder graft, Roux-en-Y cholangiojejunostomy. All the patients were cured after the operation. 根据病理损伤程度,术中分别采用了胆囊切除术、胆囊大部分切除术、瘘口直接修补术、带血管蒂胆囊瓣修补瘘口术及Roux-en-Y胆肠吻合术等手术治疗,术后患者全部临床治愈。
There was anastomotic fistula after cholangiojejunostomy in 2 cases, which was demonstrated by MRC. 胆-肠吻合术后吻合口瘘2例,MRC能显示吻合口瘘道。
Roux en Y cholangiojejunostomy was adopted in 77 cases. 胆管空肠Rouxeny吻合术77例。
Causes and treatment of reoperation after Roux-Y cholangiojejunostomy 胆肠Roux-Y吻合术后再手术原因及处理
Eight cases suffering from iatrogenic transection of the common bile duct were retrieved by cholangiojejunostomy and T tube stent. 8例是胆总管横断伤,行胆肠吻合、T管支撑引流。
If found a few days after operation or many times of failure of repair of biliary tract, Roux-en-Y cholangiojejunostomy should be performed. 术后数天发现或多次胆道修补术失败者,则宜行规范的Roux-en-Y胆肠吻合术。
Conclusion It is suggested that plasty of stenotic intrahepatic bile ducts and large caliber Roux-en-Y cholangiojejunostomy is ideal for treating hepatolithiasis with biliary duct stricture. 结论对肝内胆管结石并胆道狭窄病人首选肝胆管空肠Roux-en-Y吻合术,狭窄胆管切开整形、肝胆管空肠大口吻合。
Bile bacterial constitution in the patients with biliary calculus in intermission and after cholangiojejunostomy 胆管结石病人在间歇期和胆肠吻合术后的胆汁细菌构成分析
Methods The bile of 32 patients with chololithiasis during intermission and after cholangiojejunostomy was obtained and the bile bacterial culture was performed. 方法32例胆管结石病人,获取其间歇期胆汁和胆管空肠吻合术后胆汁作细菌培养。
Methods A novel operation was designed instead of cholangiojejunostomy. 方法设计并应用了一种新术式以皮下通道型胆囊肝总管吻合术替代传统胆肠内引流术。
Objective To evaluate the effects of segment ⅲ cholangiojejunostomy through round ligament approach for the palliative treatment of unresectable malignant obstructive jaundice. 目的评价经圆韧带途径行Ⅲ段胆管空肠吻合术姑息性治疗不能切除的恶性梗阻性黄疸病人的临床效果。