Diagnosis and treatment of iatrogenic injury in end of common bile duct / 中华肝胆外科杂志

ABSTRACT

Objective To promote the recognition and effect of treatment of the iatrogenic injury in the end of common bile.Methods The clinical data of 12 cases of the iatrogenic injury in the end of common bile duct were retrospectively analyzed.Of the 12 patients with an age ranging from 45-65,6were mate and 6 female.All the 12 patients had the bile leakage after choledocholithotomy in combination with exploration.The injury was found during operation and managed immediately in 6 cases.In other 6 cases,there were fever and right upper local retroperitonitits and delayed diagnosis of the injury.Results Nine cases were cured and 3 died(mortality=25%).Conclusion Timely finding and management of the injury during operation are important.Meanwhile,postoperative finding and early management can promote the survival of patients.The delayed treatment will result in high mortality.