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首页> 外文期刊>The American Journal of Surgery >Impact of concomitant arterial injury on the outcome of laparoscopic bile duct injury.
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Impact of concomitant arterial injury on the outcome of laparoscopic bile duct injury.

机译：伴随动脉损伤对腹腔镜胆管损伤预后的影响。

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BACKGROUND: Concomitant injury to the bile duct and hepatic artery is an increasingly recognized complication of laparoscopic cholecystectomy (LC). The impact of a concomitant arterial injury in patients with a bile duct injury (BDI) remains debatable. Early reports described a high incidence of septic complications, difficulty of biliary repair, and increased the risk of recurrent stricture. DATA SOURCES: A literature search on the clinical significance and management of a concomitant hepatic artery injury (HAI) to the outcome of biliary-enteric reconstruction following BDI was reviewed. Relevant articles were extracted through MEDLINE, with secondary references obtained from key articles. CONCLUSIONS: The association between failure of biliary repair and concomitant arterial injuries is not confirmed by the largest studies, which showed no difference in anastomotic stricture rate between patients who had an isolated BDI and those who had a combined HAI and BDI. However, right arterial injury associated with liver necrosis or damage to the right hepatic duct may require right hepatectomy.
机译：背景：胆管和肝动脉的伴随损伤是腹腔镜胆囊切除术（LC）越来越多的公认并发症。胆总管损伤（BDI）患者伴随的动脉损伤的影响仍有待商bat。早期的报道描述了败血性并发症的高发生率，胆道修复的困难和增加了再次狭窄的风险。数据来源：文献检索对BDI后并发肝动脉损伤（HAI）对胆肠-肠重建结果的临床意义和治疗进行了综述。通过MEDLINE提取相关文章，并从关键文章中获得辅助参考。结论：最大的研究并未证实胆道修复失败与伴随的动脉损伤之间的相关性，该研究表明，单纯BDI患者与HAI和BDI合并患者的吻合口狭窄率没有差异。但是，与肝坏死或右肝导管受损相关的右动脉损伤可能需要右肝切除术。

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