Clinical study on choledochojejunostomy together with a subcutaneous blind loop of interposed jejunum 皮下盲袢式间置空肠胆管空肠吻合术的临床研究
Circular anastomat in hilar cholangiocarcinoma choledochojejunostomy application research 管状吻合器在肝门胆管癌胆肠吻合术中的应用研究
Cases were cystic duct fistula. The reoperation-styles were as follows: choledochocholedochostomy, Roux-en-Y choledochojejunostomy, laparotomy of hematischesis, EST, choledocholithotomy. 再手术方式分别为胆总管端端吻合术、胆总管空肠Roux-en-Y吻合术、剖腹止血术、EST、胆总管切开取石术。
Methods Eighteen patients with cancer of pancreatic head, periampullary adenocarcinoma and other non neoplastic diseases were subjected to pancreaticoduodenectomy or biliary-enteric bypass in which choledochojejunostomy was done with stapler. 方法对18例胰头癌、壶腹周围癌和其他壶腹周围非肿瘤性疾病实施胰十二指肠切除术或胆肠短路术,术中胆肠吻合采用了ILS吻合器,并进行围手术期评估和随访。
Methods: Hepatic lobes or segments were resected in 38 patients with hepatolithiasis and some of them were concurrently operated on with choledochojejunostomy. 方法:对38例肝内胆管结石病人进行了肝叶或肝段切除,其中部分病人同时行胆总管空肠吻合术。
Clinical study of T tube free choledochojejunostomy Roux-en-Y Study of single layer anastomosis in upper and lower alimentary tract anastomosis 胆管空肠吻合一期缝合的临床研究一层缝合法在高位及低位消化道吻合中的应用
Results: Compared with Roux-Y choledochojejunostomy, T tube internal drainage between common bile duct and jejunum had a shorter span of operation time, less postoperative complication, better restoration of liver function and total serum bilirubin, rapid recovery of gastrointestinal function and improvement of life quality. 结果:胆总管空肠T管架桥术组比Rouxy组手术时间短,术后并发症发生率低,血清总胆红素和肝功能恢复快,胃肠功能恢复时间短,生活质量高。
Cystectomy and Roux-en-Y choledochojejunostomy ( combined method) should be taken as the best operative methods. 一旦确诊,应及早手术,并做好围手术期处理,手术以囊肿切除、肝总管空肠Roux-en-Y(综合性方法)吻合为好。
Clinical study on single-layer eversion choledochojejunostomy 胆管空肠一层外翻吻合术的临床研究
Pancreatoduodenectomy was performed in 22 cases, segmental duodenectomy in 2 cases, simple tumor resection in 3 cases, gastroenterostomy or choledochojejunostomy in 12 cases and simple laparotomy in 4 cases. 行胰十二指肠切除术22例,节段性肠切除术2例,单纯癌肿切除术3例,胃肠、胆肠吻合术12例,剖腹探查术4例,手术切除率为63%。
Causes and Measures of Reoperation after Roux-en-Y Choledochojejunostomy 胆管空肠Roux-en-Y吻合术后再手术原因及对策
The last surgical treatment was performed in all patients by the end to end anastomosis of bile duct in 2 cases, the repair of bile duct injury in 4 ones, the removal of suture in 3 ones, the Roux-en-Y choledochojejunostomy in 27 ones. 最后1次手术方式为胆管端端吻合2例,胆管壁缺损修补4例,单纯缝线拆除3例,胆管空肠Roux-en-Y吻合27例。
Objective To study the morphology of Roux-Y choledochojejunostomy, and to investigate the effects of anti-reflux following the Roux-en-Y anastomosis. 目的研究Roux-Y吻合术后吻合口的形态以及Y形形态和抗反流的关系。
The main method for reoperation included choledocholithotomy and T-tube drainage, lobectomy of liver, choledochoplasty and choledochojejunostomy Roux-en-Y, etc. 再次手术方式以胆总管切开T形管引流术、肝叶切除术和肝胆管整形、肝胆管-空肠Roux-en-Y吻合术为主。
Objective: To study the operative design, safety evaluation and feasibility of modified gasless laparoscopic choledochojejunostomy ( MGLCJS). 目的:研究改良非气腹腹腔镜胆总管空肠吻合术(MGLCJS)的手术设计及其安全性与可行性。
The incidence of complications such as flow of gall ( 3%) and anastomotic stenosis ( 3%) of the group Roux-Y side-to-side choledochojejunostomy with elementary stapler is lower than the other three groups. 消化道吻合器Roux-Y胆总管空肠侧侧吻合术组的胆汁溢漏(3%)、吻合口狭窄(3%)的并发症发生率较其他三组为低。