Anastomosis of bile duct injury.docVIP

 PAGE \* MERGEFORMAT 9 Anastomosis of bile duct injury [Abstract] Objective To investigate the bile duct anastomosis and compared the advantage of a variety of ways. Methods in April 2005, we succeeded in 1 case of intraoperative bile duct injury, a complete fracture patients matched ends consistent manner, and in agreement port directly into full bore T-drainage tube. Results After patients recovered well, after 3 years of observation, without any obstruction of bile duct stricture, infection, stone formation and other complications. Conclusions of anastomotic bile duct anastomosis after T-drainage implantation management approach is feasible. [Keywords:] bile duct injury, bile duct anastomosis, T-drainage tube Bile duct injury often seen clinically, except for injuries, but common iatrogenic injury, have been reported each year. And there are many complications after bile duct anastomosis. Common are: biliary fistula, obstruction of bile duct stricture, bile duct infection and gallstone formation .2005 April, 1 case of our hospital cholecystectomy, bile duct injury patients with a fracture anastomosis, get good results, are as follows. 1 Materials and Methods General information 1.1 male patient, 47 years old, usually healthy, due to chronic cholecystitis, cholecystectomy, anesthesia, general anesthesia. The removal of the gallbladder, the examination revealed a cystic duct at the bifurcation tube, and found fault with bile duct overflow of bile, where they found a broken pipe distal diameter of 0.5 cm, the no stones, broken pipe ends neat edge, the rear of the portal vein, no complete common bile duct, broken pipe at both ends of the same diameter, the edge consistent, considering the common bile duct damage and fracture, the Department of completely broken. then probe with a 3 bile duct exploration, from the mouth into the proximal fracture, up to about hepatic duct, from the mouth into the distal fracture, up to the duodenum, patients Bank o