Hepatectomy for bile duct injuries: When is it necessary?

作     者：Beata Jablońska 

作者机构：Department of Digestive Tract SurgeryUniversity Hospital of the Medical University of Silesia40-752 KatowicePoland 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第38期

页      面：6348-6352页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Hepatectomy Bile duct injury Cholecystectomy Laparoscopic cholecystectomy 

摘      要：Iatrogenic bile duct injuries(IBDI)are still a challenge for *** most frequently,they are caused by laparoscopic cholecystectomy which is one of the commonest surgical procedure in the *** techniques are recommended as initial treatment of *** endoscopic treatment is not effective,surgery is *** surgical biliary reconstructions are performed in most patients in ***-Y hepaticojejunostomy is the commonest biliary reconstruction for *** some patients with complex IBDI,hepatectomy is ***,Liet al analyzed the factors that had led to hepatectomy for patients with IBDI after laparoscopic cholecystectomy(LC).Authors concluded that hepatectomy might be necessary to manage early or late complications after *** study showed that proximal IBDI(involving hepatic confluence)and IBDI associated with vascular injuries were the two independent risk factors of hepatectomy in this *** distinguished two main groups of patients that require liver resection in IBDI:those with an injury-induced liver necrosis necessitating early intervention,and those in whom liver resection is indicated for treatment of liver atrophy following long-term *** this commentary,indications for hepatectomy in patients with IBDI are *** biliovascular injuries as indications for hepatectomy are ***-and long-term results in patients following liver resection for IBDI are also *** is not a standard procedure in surgical treatment of IBDI,but in some complex injuries it should be considered.