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对位于肝门区的肿瘤进行根治性切除或手术旁路缓解胆道梗阻,或对肝内胆管损伤作修复,有时需要作肝内胆管吻合术.虽然目前已经采用经皮经肝或经内窥镜放置胆管内支撑管来缓解胆道梗阻,但是,只有在外科手术切除肿瘤以后才有可能达到根治.此时需要将肝内胆管和空肠作Roux-en-Y吻合.缓解性旁路手术也需要作此种肝内胆管吻合术.肝内胆管吻合术一般限指肝内胆管和肠道吻合以恢复胆道通畅性.为了评价肝内胆管吻合术对肝门区疾患特别是恶性肿瘤的病人施行根治性手术或缓解性手术后的作用和结果,作者对法国一所大型教学医院23年期间施行了肝内胆肠吻合术的病人进行了回顾性分析和总结.
Intrahepatic bile duct anastomosis is sometimes required for radical resection of the tumor in the hilus region or surgical bypass to relieve biliary obstruction or repair of intrahepatic bile duct injury. Although percutaneous transhepatic or transendoscopic Place bile duct support tube to relieve biliary obstruction, but it is only possible to achieve radical cure after surgical removal of the tumor. At this time, intrahepatic bile duct and Roux-en-Y need to be anastomosis. Relief bypass surgery also needs to be done. This intrahepatic bile duct anastomosis. Intrahepatic bile duct anastomosis generally refers to the intrahepatic bile duct and intestinal anastomosis in order to restore biliary patency. In order to evaluate intrahepatic bile duct anastomosis in patients with hepatic portal disease, especially malignant tumors in patients with radical The authors retrospectively analyzed and summarized the patients who underwent intrahepatic cholangiojejunostomy during a 23-year period in a large teaching hospital in France after surgery or after palliative surgery.