MI Yuetang , LI Rui , LI Xuehua , YANG Fenghui , SHAO Feng , ZHANG Yanbo , LI Hongguang.
  • Department of General Surgery, Liaocheng People’s Hospital, Liaocheng 252000, China;
Lithiasis Hilar bile duct stricture Treatment outcome
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【Abstract】ObjectiveTo improve curative effects in the treatment of hilar bile duct stricture.
MethodsIntrahepatic cholelithiasis was associated with the development of hilar bile duct stricture.Plastics of hilar bile duct stricture (PHBDS) using pedicled cholecystic graft and Roux-en-Y cholangiojejunostomy (RYCJ) were performed. The patients with hepatolithiasis treated with PHBDS or RYCJ between Jan. 1994 and Jan. 2004 were retrospectively analyzed.
ResultsFollow-up was carried out from 16 months to 87 months with an average of 47 months. The postoperative morbidity of cholangitis was 5.66% and 21.88% (P=0.010) and recurring rate of hepatolithiasis was 3.77% and 16.67%(P=0.021).
ConclusionPHBDS can preserve the physiological compatible, convenient and effective in treatment of hilar bile duct stricture. The late result after operation of PHBDS is better than that of RYCJ.

Citation： MI Yuetang,LI Rui,LI Xuehua,YANG Fenghui,SHAO Feng,ZHANG Yanbo,LI Hongguang.. Experience of Plastics of Hilar Bile Duct Stricture Using Pedicled Cholecyst Graft (Report of 53 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(3): 296-297. doi: Copy