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.
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。