PDF(Pubmed)
Abstract：
BACKGROUND: Bile duct injuries caused by any reason are a disaster for patients and pose a significant psychological and technical challenge for surgeons. The use of Ligamentum teres hepatis and gallbladder flap as autografts is showing promising results in the repair of bile duct injury.
METHODS: This article presents a challenging case of a patient with Mirizzi syndrome who experienced a complex bile duct defect and injury during cholecystectomy. We describe the successful reconstruction of the bile duct using ligamentum teres hepatis and remnant gallbladder flap simultaneously.
CONCLUSIONS: Ligamentum teres hepatis and remnant gallbladder flap are ideal repair materials for repairing and reconstructing bile duct injuries due to their easy availability, good tissue compatibility, and low incidence of postoperative complications. It is essential to seek the assistance of an experienced biliary surgeon when bile duct injury occurs during operation.
CONCLUSIONS: Ligamentum teres hepatis and gallbladder flap, as suitable autologous tissues, are viable options for repairing bile duct injuries and defects.
METHODS: This article presents a challenging case of a patient with Mirizzi syndrome who experienced a complex bile duct defect and injury during cholecystectomy. We describe the successful reconstruction of the bile duct using ligamentum teres hepatis and remnant gallbladder flap simultaneously.
CONCLUSIONS: Ligamentum teres hepatis and remnant gallbladder flap are ideal repair materials for repairing and reconstructing bile duct injuries due to their easy availability, good tissue compatibility, and low incidence of postoperative complications. It is essential to seek the assistance of an experienced biliary surgeon when bile duct injury occurs during operation.
CONCLUSIONS: Ligamentum teres hepatis and gallbladder flap, as suitable autologous tissues, are viable options for repairing bile duct injuries and defects.
摘要：
背景：任何原因造成的胆管损伤对患者来说都是灾难，对外科医生构成了重大的心理和技术挑战。使用肝圆韧带和胆囊皮瓣作为自体移植物在修复胆管损伤方面显示出有希望的结果。
方法：本文介绍了一个具有挑战性的Mirizzi综合征患者，该患者在胆囊切除术中经历了复杂的胆管缺损和损伤。我们描述了同时使用肝圆韧带和残余胆囊皮瓣成功重建胆管的方法。
结论：肝韧带和残余胆囊皮瓣容易获得，是修复和重建胆管损伤的理想修复材料。良好的组织相容性，术后并发症发生率低。在手术中发生胆管损伤时，必须寻求经验丰富的胆道外科医生的帮助。
结论：肝圆韧带和胆囊瓣，作为合适的自体组织，是修复胆管损伤和缺损的可行选择。
方法：本文介绍了一个具有挑战性的Mirizzi综合征患者，该患者在胆囊切除术中经历了复杂的胆管缺损和损伤。我们描述了同时使用肝圆韧带和残余胆囊皮瓣成功重建胆管的方法。
结论：肝韧带和残余胆囊皮瓣容易获得，是修复和重建胆管损伤的理想修复材料。良好的组织相容性，术后并发症发生率低。在手术中发生胆管损伤时，必须寻求经验丰富的胆道外科医生的帮助。
结论：肝圆韧带和胆囊瓣，作为合适的自体组织，是修复胆管损伤和缺损的可行选择。
