摘要
目的介绍胆总管囊肿广泛切除,留置直管引流的手术方法。方法囊肿广泛切除,重建胆道肝总管空肠Roux-Y吻合,直接在吻合口下2～3cm肠壁戳口插入细直管,并呈隧道样包埋4～5cm一段。结果本组16例术后造影吻合口通畅。结论采用直管引流能防止囊肿切除胆道重建术后吻合口狭窄的并发症,并能通过造影了解胆管扩张情况。
Objiective To introduce the disadvantage of the'T'shape tube drainage and the advantage of the direct tube Drainage during the main bile duct cystoectomy.Methods During the Roux-Y anatosmosis between main hepatic canal and jujunum bile duct reconstruction,directly inserted fine straight tube into the apex of intestinal wall2～3cm below the anatosmotic oriffice and embedded a segment of4～5cm like a sinus canal.Results After operation took radioactive contrast on16cases,all of their anatosmotic parts were unobstructed.Conclusions Using straight tube drainage can prevent the anatomotic stenosis complication in cystoctomy and bile duct reconstruction.[
出处
《临床小儿外科杂志》
CAS
2002年第5期341-343,共3页
Journal of Clinical Pediatric Surgery
