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《Journal of Bethune Military Medical College》 2008-01
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21 Cases of Patlents with Benign Lesion in Extrabepatic Bile Buct Repaired with Gallbladder Flap

HOU Jinhua GAO Xianqing GONG Bing,Department of Surgery.the 123 Hospital of PLA,Bengbu 233015,China  
Objective To study the experience of repairing benign lesion in extrahepaic bile duct with gallbladder flap.Methods 21 cas- es of patients with extrahepatic benign lesion were repaired with gallbladder flap.7 cases and 3 cases were complicated with Mirizzi syndromeⅡandⅢrespectively,and 4 cases with cholecyst and choledochus fistula,5 cases with hepatic portal cholangitic stenosis,2 cases with choledochus phasely stenosis.T tube visualization and B ultrasonic examination were performed regularly after surgery.And retrospective summary was performed to all of the patients.Results All the operations in this group were succesfully ccmpleted,no leak bile and significant cholangitis occurred,and no abnor- malities in liver function.The result of T tube visualization after operation 6 months showed that the bile duct lumina was integrated,the intine smooth,and without mucosa interruption,duodenum discharged fine.But 4 cases had limited dilated sign.Extubated alter6 to 12 months,the re- sults of rechecking with B ultrasonic were satisfying.Conclusion It is simple to repair the extrahepatic bile duct stenosis or defection with gallblad- der flap,and can maintain normal anatomic structure,and reserves cholekinetic normal physiologic function of bile duct and function Oddi's sphinc- ter.It is an effective method to repair bonign lesion of bile duct.
【CateGory Index】: R657.4
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 Huang Dengqing, Chen Ruihua, Zheng Ming (Department of Anatomy, Fujian Medical University, Fuzhou, 350004);Applied Anatomy of Repair of Bile Duct Defect with Vascularized Gallbladder Graft[J];JOURNAL OF FUJIAN MEDICAL UNIVERSITY;1998-03
【Co-citations】
Chinese Journal Full-text Database 2 Hits
1 CHEN Chen1,WANG Weixing1,ZHANG Yong1,TAO Xuxiong2,ZHAO Yanhui1 1Dept.of Hepatobiliary and Laparoscopic Surgery,Renmin Hospital of Wuhan University,Wuhan 430060,China 2Dept.of Laparoscopic Center,The Fourth Hospital of Nanchang University,Nanchang 330003,China;Clinical Diagnosis and Treatment of Mirizzi Syndrome[J];Medical Journal of Wuhan University;2007-05
2 WANG Jin-gui,CHEN Jia-fei,LIN Ren-fang,et al.(Department of Surgery,the First Hospital of Putian,Putian 351100,China);To restore incommodious bile duct by gallbladder one (lamella) with cystic artery[J];Journal of Clinical Surgery;2005-03
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