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Abstract：
Injuries to segmental or aberrant bile ducts are encountered less commonly than their major bile duct counterparts and present a unique diagnostic and therapeutic challenge, since the nature of this injury involves a transected bile duct that loses its communication with the main ductal system. In this systematic review, we aim to pool available data on this particular type of biliary injury in an effort to outline available diagnostic and therapeutic modalities and evaluate their efficacy.
An extensive literature search was performed on MEDLINE, Scopus, and Web of Science to identify isolated segmental or aberrant bile duct injuries.
A total of 21 studies were included in this systematic report. Ten studies reported non-operative management of patients, while 12 reported operative management of included patients. Outcomes of interest were the choice of treatment interventions and their success. Overall, 23 patients were managed non-operatively with a 91% success rate and 30 patients were managed operatively with a 90% success rate.
Non-operative management might be a viable alternative to surgery. Hepatobiliary surgeons should be encouraged to publish their results in treating these rare injuries to further elucidate the role and efficacy of such an approach.
An extensive literature search was performed on MEDLINE, Scopus, and Web of Science to identify isolated segmental or aberrant bile duct injuries.
A total of 21 studies were included in this systematic report. Ten studies reported non-operative management of patients, while 12 reported operative management of included patients. Outcomes of interest were the choice of treatment interventions and their success. Overall, 23 patients were managed non-operatively with a 91% success rate and 30 patients were managed operatively with a 90% success rate.
Non-operative management might be a viable alternative to surgery. Hepatobiliary surgeons should be encouraged to publish their results in treating these rare injuries to further elucidate the role and efficacy of such an approach.
摘要：
与主要胆管对应物相比，节段性或异常胆管的损伤较少，并提出了独特的诊断和治疗挑战。因为这种损伤的性质涉及与主要导管系统失去联系的横断胆管。在这次系统审查中，我们的目标是汇集有关这种特殊类型胆道损伤的现有数据,以概述可用的诊断和治疗方式并评估其疗效.
对MEDLINE进行了广泛的文献检索，Scopus,和WebofScience来识别孤立的节段性或异常胆管损伤。
本系统报告共纳入21项研究。十项研究报告了患者的非手术治疗，而12人报告了纳入患者的手术管理。感兴趣的结果是治疗干预措施的选择及其成功。总的来说,对23例患者进行非手术治疗，成功率为91％，对30例患者进行手术治疗，成功率为90％。
非手术治疗可能是手术的可行替代方案。应鼓励肝胆外科医师发表其治疗这些罕见损伤的结果，以进一步阐明这种方法的作用和疗效。
对MEDLINE进行了广泛的文献检索，Scopus,和WebofScience来识别孤立的节段性或异常胆管损伤。
本系统报告共纳入21项研究。十项研究报告了患者的非手术治疗，而12人报告了纳入患者的手术管理。感兴趣的结果是治疗干预措施的选择及其成功。总的来说,对23例患者进行非手术治疗，成功率为91％，对30例患者进行手术治疗，成功率为90％。
非手术治疗可能是手术的可行替代方案。应鼓励肝胆外科医师发表其治疗这些罕见损伤的结果，以进一步阐明这种方法的作用和疗效。
