【摘要】 目的探讨胆道再次手术的原因及其临床特点,总结手术经验及预防措施.方法回顾性分析2007年3月至2009年7月我科收治的96例胆道再次手术病人的临床资料.结果胆道再次手术的大部分原因是肝脏内外结石的残留和复发,占到了本病例的80%,其次为吻合口狭窄、医源性胆管损伤、残株胆囊结石.结论患者自身体质及胆道本身的疾病是胆道再次手术的主要原因,加强术前的详细影像学检查做好充分的术前准备及细心手术是减少胆道再次手术的关键.更多还原

【Abstract】 Objective To investigate the reasons for reoperation of biliary tract and its clinical features,and to sum up experience of surgery and preventive measures.Methods The clinical date of 96 cases which were treated in our department from March 2007 to July 2009 were retrospectively analysised.Results The major reasons of biliary tract reoperation were residual and recurrence stone in biliary tract which occurred in 80% of the cases,followed by anastomotic stenosis,iatrogenic bile duct injury and gallstone stubble.Conclusions The main reason for reoperation of biliary tract is the biliary tract disease.The key to reduce reoperation is to strengthen detailed preoperative imaging examinations and adequate preoperative preparation and careful study of biliary tract surgery.更多还原