Role of quadrate lobe hepatectomy in the management of complex iatrogenic high biliary tract injury / 中华普通外科杂志
Chinese Journal of General Surgery
; (12): 646-650, 2022.
Article
en Zh
| WPRIM
| ID: wpr-957822
Biblioteca responsable:
WPRO
ABSTRACT
Objective:
To evaluate partial ventral hepatectomy in the treatment of patients with complicated iatrogenic high bile duct injury.Methods:
The clinical data of 8 cases of complicated iatrogenic high bile duct injury treated with the assistance of hepatic ventral segmentectomy from Mar 2013 to May 2020 at Hunan Provincial People's Hospital was retrospectively analyzed.Results:
Among the 8 patients, 5 patients underwent partial Ⅳb lobectomy, and 3 patients received partial Ⅳb and Ⅴ segmentectomy of the liver. All the operation was successful without death in hospital. One case developed subphrenic infection and seroperitoneum, which was healed by anti-infection treatment and abdominocentesis. The postoperative follow-up time was 5-90 months, and all of patients are doing well. There was no stenosis in intrahepatic bile duct by postoperative cholangiography or MRI.Conclusions:
Quadrate lobe hepatectomy provides a wide view for the treatment of complicated iatrogenic high bile duct injury by fully opening the first porta hepatis and exposing the primary and secondary bile duct branch helping establish a wide patent tension free bile duct-jejunostomy.
Texto completo:
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Banco de datos:
WPRIM
Idioma:
Zh
Revista:
Chinese Journal of General Surgery
Año:
2022
Tipo del documento:
Article