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肝肠吻合术的研究进展

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肝肠吻合术是一种特殊的胆道重建手术方式,目前尚无明确统一的定义,在适应证的选择和操作细节等方面都有其自身的特点。在一些复杂胆道外科疾病(如先天性胆道闭锁、复杂肝门部肿瘤、高位胆管损伤、高位胆管狭窄等)的手术中,与传统的胆管空肠吻合术相比,肝肠吻合术可明显降低手术难度,减少术后并发症的发生。该文就肝肠吻合术的发展历程、应用进展及技术要点进行了综述,以使更多的肝胆胰外科医师了解该术式。
Research progress in hepatoenterostomy
Hepatoenterostomy,which has no clear and unified definition,is a special surgical method of biliary reconstruction,and it has its own characteristics in selection of indications and details of operation. Compared with traditional cholangiojejunostomy,hepatojejunostomy can significantly reduce the difficulty of operation and the occurrence of postoperative complications of some complex biliary diseases such as atresia, complex cholangiocarcinoma,high bile duct injuries,high bile duct strictures and so on.In order to help more hepatobiliary and pancreatic surgeons to understand this method,this article reviewed the development,the advancement,and the key technical points of hepatoenterostomy.

hepatoenterostomybiliary reconstructionhepatic hilar tumorbile duct injurybiliary stricturereview

杨俊涛、周波、刘孟刚

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重庆两江新区人民医院肝胆胰外科,重庆 401121

陆军军医大学大坪医院肝胆外科,重庆 400042

肝肠吻合术 胆道重建 肝门区肿瘤 胆管损伤 胆道狭窄 综述

重庆市自然科学基金面上项目

cstc2020jcyj-msxmX0122

2024

重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
年,卷(期):2024.53(6)
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