Iatrogenic bile duct injury in support of the treatment.docVIP

 PAGE \* MERGEFORMAT 10 Iatrogenic bile duct injury in support of the treatment Surgical induced extrahepatic bile duct injury is the liver and gallbladder surgery may encounter a more difficult problem, if found to be timely or improper handling of the discovery will lead to very serious consequences, seriously affecting the patients quality of life and life in the future, post-treatment problems. Therefore, the biliary surgery, even an experienced surgeon should exercise caution and old, and strive to not damage or injury shall be to discover and make proper and correct treatment. Looking back at my hospital from March 1993 to December 2006 there were 21 cases of iatrogenic bile duct injury cases, surgery was found in 20 cases, surgery was found in 1 case, and 1 died. A clinical data 1.1 General information on the whole group of 21 cases, 5 males, 16 females, aged from 31 to 76 years, of which 19 cases were caused by simple cholecystectomy when the extrahepatic bile duct injury, two cases of gallbladder stone with extrahepatic bile duct stones in cholecystectomy when the cause of extrahepatic bile duct injury. Common bile duct injury in 6 cases, hepatic duct injury in 10 cases, right hepatic duct injury in 3 cases, the left hepatic duct injury in 1 case, hepatic duct and left hepatic duct injury in 1 case both. 1 case was omitted from surgery and after second operation was found OK. 1.2 Operation of the whole group found that most cases of intraoperative fibrosis of small atrophic gallbladder, a small portion of the heavier adhesion edema cholecystitis with biliary stones stones near the cystic duct openings of the bile duct, gall bladder or bile duct has been formed fistula. Of which 18 cases were in support of drainage more than 6 months later (6 to 11 months), removal of support tubes, at least 2 years follow-up, no place narrow, have all been recovered. 2 routine Rou-en-Y biliary-enteric anastomosis, or liver-intestine, 1 patient was cured, and the o