Iatrogenic injury of the distal common bile duct surgery in the treatment and prevention of.docVIP

 PAGE \* MERGEFORMAT 13 Iatrogenic injury of the distal common bile duct surgery in the treatment and prevention of Authors: Jin-Shu Wu, LIANG Gang, Chen mefo, Wang Xintian, Yang Hui best [Abstract] Objective To study the iatrogenic injury of the distal common bile duct surgery in the treatment and prevention. Methods A retrospective analysis in February 1990 ~ February 2005 our department treated 26 cases of iatrogenic injury of the distal common bile duct in patients with clinical data. The results extend the exposed bile syndrome (96.2%), water injection test was positive (100%). Surgical treatment of superficial compliance, communication, supports, suppressing four words the principle of long-arm T tube is an effective means to support the common bile duct. The whole group 21 cases were followed up for an average of 20.8 months, results were satisfactory. Conclusion Intraoperative biliary expansion bare Zheng, water injection test is the distal common bile duct injury in an effective diagnostic tool. Follow the light, communication, supports, surgical principle of suppressing four characters will be given satisfactory results. Satisfied with the surgical field revealed an effective preventive measure. [Keywords:] iatrogenic distal common bile duct injury; diagnosis; treatment; prevention [Abstract] Objective To discuss the diagnosis and prevention of iatrogenic choledochus injury during operation.Methods Reviewed the case history of above-mentioned reason that treated in department from 1990,2 ~ 2005,2. Results Biliary tract sound nudity sign (96.2) water affusion-test () 100%: the surgical treatment follow four words principle: superficial, communicate, hold, restrain.Using the long arm T tube to support the common bile duct is effect method.Visiting 21 cases, average times are 20.8 months, the effect is satisfying.Conclusion The affusion-test is utility method to diagnose the distal common bile duct injury in operation.Flowing the above mentioned