关键词: 肝外胆管, 离断伤, 一期修复

Abstract: 【Abstract】 Objective To investigate the operation indication, surgical skills and related complications in the repair of one stage biliary duct end to end anastomosis for iatrogenic extrahepatic duct transection. Methods From January 2007 to December 2011, the clinical data of 13 cases with iatrogenic extrahepatic duct transection were analyzed retrospectively..All cases underwent open abdominal surgery..Among them,.9 cases underwent the repair of one stage biliary duct end to end anastomosis. Results In the 9 cases underwent one-stage biliary duct end to end anastomosis,.3 cases occured biliary leakage after operation and these cases were cured by catheterized drainage and aggresive conservative treatment. No biliary duct stricture and obstruction were found during short-term follow-up peroid. Conclusion One stage biliary duct end to end anastomosis is safe and effective method for selecting suitable case of iatrogenic biliary duct transection. Precise biliary duct anastomotic technique is successful key in the one stage biliary duct end to end anastomosis.

Key words: Extrahepatic duct, Transection, One stage repair