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中华肝脏外科手术学电子杂志 ›› 2022, Vol. 11 ›› Issue (06) : 555 -558. doi: 10.3877/cma.j.issn.2095-3232.2022.06.005

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医源性胆管损伤的修复时机
刘文峥1, 陈勇军1,()   
  1. 1. 430030 武汉,华中科技大学同济医学院附属同济医院胆胰外科
  • 收稿日期:2022-08-12 出版日期:2022-12-10
  • 通信作者: 陈勇军
  • 基金资助:
    国家自然科学基金面上项目(81572783,81974438,82173069)

Timing of repair for iatrogenic biliary duct injury

Wenzheng Liu1, Yongjun Chen1()   

  • Received:2022-08-12 Published:2022-12-10
  • Corresponding author: Yongjun Chen
引用本文:

刘文峥, 陈勇军. 医源性胆管损伤的修复时机[J]. 中华肝脏外科手术学电子杂志, 2022, 11(06): 555-558.

Wenzheng Liu, Yongjun Chen. Timing of repair for iatrogenic biliary duct injury[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2022, 11(06): 555-558.

1905年Mayo首次报道2例胆总管十二指肠吻合修复胆囊切除术导致的医源性胆管损伤(iatrogenic bile duct injury,IBDI)。其后IBDI经历了两次发生高峰,分别是20世纪60年代开腹胆囊切除术和90年代腹腔镜胆囊切除术(LC)广泛开展时。目前,LC致IBDI发生率为0.104%~0.38%,占全部IBDI的80%~85%,成为导致IBDI的首要原因[1]。站在手术者的角度,手术过程中曾发生IBDI的外科医师占72.3%~80%[2]。但由于IBDI统计的难度,实际发生率可能更高。此外胃大部切除术、肝破裂修补术、肝切除术、ERCP及相关操作导致的IBDI也见于文献。

[1]
Karvonen J, Gullichsen R, Laine S, et al. Bile duct injuries during laparoscopic cholecystectomy: primary and long-term results from a single institution[J]. Surg Endosc, 2007, 21(7):1069-1073.
[2]
Iwashita Y, Hibi T, Ohyama T, et al. Delphi consensus on bile duct injuries during laparoscopic cholecystectomy: an evolutionary cul-de-sac or the birth pangs of a new technical framework?[J]. J Hepatobiliary Pancreat Sci, 2017, 24(11):591-602.
[3]
Calhoun P, Hanks JB. Hormonal contributions to biliary secretion[J]. Surg Gastroenterol, 1984, 3(2):8-16.
[4]
Flum DR, Dellinger EP, Cheadle A, et al. Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy[J]. JAMA, 2003, 289(13):1639-1644.
[5]
黄晓强, 黄志强. 医源性胆管损伤的处理[J]. 中国实用外科杂志2001, 21(7):413-414.
[6]
董家鸿. 医源性胆管损伤及损伤性胆管狭窄的现代外科处理[J]. 中华消化外科杂志, 2008, 7(1):6-8.
[7]
AbdelRafee A, El-Shobari M, Askar W, et al. Long-term follow-up of 120 patients after hepaticojejunostomy for treatment of post-cholecystectomy bile duct injuries: a retrospective cohort study[J]. Int J Surg, 2015(18):205-210.
[8]
Z'Graggen K, Wehrli H, Metzger A, et al. Complications of laparoscopic cholecystectomy in Switzerland. a prospective 3-year study of 10,174 patients. Swiss Association of Laparoscopic and Thoracoscopic Surgery[J]. Surg Endosc, 1998, 12(11):1303-1310.
[9]
Lilley EJ, Scott JW, Jiang W, et al. Intraoperative cholangiography during cholecystectomy among hospitalized medicare beneficiaries with non-neoplastic biliary disease[J]. Am J Surg, 2017, 214(4):682-686.
[10]
Kumar S, Kumar P, Chandra A. Bile duct injury: to err is human; to refer is divine[J]. BMJ Case Rep, 2019, 12(4):e228361.
[11]
Barbier L, Souche R, Slim K, et al. Long-term consequences of bile duct injury after cholecystectomy[J]. J Visc Surg, 2014, 151(4):269-279.
[12]
Pitt HA, Sherman S, Johnson MS, et al. Improved outcomes of bile duct injuries in the 21st century[J]. Ann Surg, 2013, 258(3): 490-499.
[13]
Walsh RM, Henderson JM, Vogt DP, et al. Long-term outcome of biliary reconstruction for bile duct injuries from laparoscopic cholecystectomies[J]. Surgery, 2007, 142(4):450-456.
[14]
de Reuver PR, Grossmann I, Busch OR, et al. Referral pattern and timing of repair are risk factors for complications after reconstructive surgery for bile duct injury[J]. Ann Surg, 2007, 245(5):763-770.
[15]
张永杰. 如何掌握胆道损伤后再手术时机[J]. 肝胆外科杂志, 2004, 12(3):166-168.
[16]
Booij KAC, de Reuver PR, van Dieren S, et al. Long-term impact of bile duct injury on morbidity, mortality, quality of life, and work related limitations[J]. Ann Surg, 2018, 268(1):143-150.
[17]
Dageforde LA, Landman MP, Feurer ID, et al. A cost-effectiveness analysis of early vs late reconstruction of iatrogenic bile duct injuries[J]. J Am Coll Surg, 2012, 214(6):919-927.
[18]
Mishra PK, Saluja SS, Nayeem M, et al. Bile duct injury-from injury to repair: an analysis of management and outcome[J]. Indian J Surg, 2015, 77(Suppl 2):536-542.
[19]
Iannelli A, Paineau J, Hamy A, et al. Primary versus delayed repair for bile duct injuries sustained during cholecystectomy: results of a survey of the Association Francaise de Chirurgie[J]. HPB, 2013, 15(8):611-616.
[20]
Lillemoe KD, Melton GB, Cameron JL, et al. Postoperative bile duct strictures: management and outcome in the 1990s[J]. Ann Surg, 2000, 232(3):430-441.
[21]
Sicklick JK, Camp MS, Lillemoe KD, et al. Surgical management of bile duct injuries sustained during laparoscopic cholecystectomy: perioperative results in 200 patients[J]. Ann Surg, 2005, 241(5):786-792.
[22]
Stewart L, Way LW. Laparoscopic bile duct injuries: timing of surgical repair does not influence success rate. a multivariate analysis of factors influencing surgical outcomes[J]. HPB, 2009, 11(6):516-522.
[23]
Stewart L, Way LW. Bile duct injuries during laparoscopic cholecystectomy. factors that influence the results of treatment[J]. Arch Surg, 1995, 130(10):1123-1128.
[24]
黄立嵩, 张永杰, 俞文隆, 等. 胆道闭合性损伤后手术时机选择的实验研究[J]. 中华肝胆外科杂志, 2007, 13(11):760-763.
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