Selection of bile duct injury repair method based on proximal bile duct blood supply / 国际外科学杂志

ABSTRACT

Surgical repair options of bile duct injury have been controversial.Clinical survey shows that high cholangiojejunostomy repairs have a better long term outcomes than end to end duct anastomosis or low cholangiojejunostomy repairs near to injured position,but the mechanism is not fully understood.With the depth understanding of blood supply changes of the injured proximal bile duct,it is believed that,in addition to the surgeon's experience,the severity of the injury,general or local condition of patient,the doctor should select specific surgical repair based on the blood supply of the injured proximal bile duct.