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Management for Extrahepatic Bile Duct Injury Complicating with Laparoscopic Cholecystectomy - An Experience of the Magnetic Compression Anastomosis Between the Common Bile Duct and the Duodenum

机译:腹腔镜胆囊切除术复杂化的脱胸腺胆管损伤的管理 - 常见胆管和十二指肠之间的磁性压缩吻合的经验

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We tried choledochoduodenostomy using magnets interventionally for a case with complete obstruction of the common bile duct (CBD) after the laparoscopic cholecystectomy (Lap-C). Choledochoduodenostomy using magnets was done after 6 months later of the Lap-C. A pillar magnet of 4 mm diameter and 9 mm length was delivered at the obstructed CBD through the percutaneous transhepatic biliary drainage rout that was dilated to 14 French size, And a pillar magnet of 5 mm diameter and 5 mm length was delivered at the bulbus of the duodenum using peroral endoscopy. Anastomosis between the CBD and the duodenum was formed gradually by the force of compression between the both magnets. Two weeks later, the anastomosis was formed, there is no harmful event. Magnetic compression anastomosis is very useful for the biliary complications (stenosis or obstruction) after the Lap-C.
机译:我们尝试使用介于腹腔镜胆囊切除术(LAP-C)的常见胆管(CBD)完全阻塞的磁体介入介入的磁体进行胆成的胆汁植物矫形术。使用磁体在叔丁-c的6个月后进行胆丁福霉菌术。通过经皮的CBD通过经皮的CBD递送4mm直径和9mm长度的柱磁铁通过扩张为14种法式尺寸,并且在底物处递送5mm直径和5mm长度的柱磁铁Duoxenum使用Peroral内窥镜检查。 CBD和十二指肠之间的吻合术通过两个磁体之间的压缩力逐渐形成。两周后,形成吻合术,没有有害事件。磁性压缩吻合术对乙酰后的胆汁并发症(狭窄或梗阻)非常有用。

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