| File | |
| language |
jpn
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| Title Transcription | Ⅲ b ガタ カンソンショウ ニ ガッペイ シタ フクザツ カンモンブ タンカン ソンショウ ニ タイシテ ヒ ホウゴウセイ アッチャクシキ タンカン クウチョウフンゴウ ニ ヨリ サイケン シ キュウメイ シエタ イチレイ
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| Title Alternative (English) | Non-suturing hepaticojejunostomy for severe liver trauma with complex extrahepatic biliary tract（hilar bile duct） injury: A case report
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| Attribute |
症例報告
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| Author |
Narita, Maiko
Acute Care Surgery Center, Senshu Trauma and Critical Center, Rinku General Medical Center
Nakao, Shota
Acute Care Surgery Center, Senshu Trauma and Critical Center, Rinku General Medical Center
Idoguchi, Koji
Acute Care Surgery Center, Senshu Trauma and Critical Center, Rinku General Medical Center
Mizushima, Yasuaki
Acute Care Surgery Center, Senshu Trauma and Critical Center, Rinku General Medical Center
Matsuoka, Tetsuya
Acute Care Surgery Center, Senshu Trauma and Critical Center, Rinku General Medical Center
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| Description | Ⅲ b 型肝損傷に複雑肝門部胆管損傷を伴った症例に非縫合性圧着式胆管空腸吻合で再建した症例を経験した。
【症例】ショックバイタルで来院した51 歳男性に，damage control surgery およびTAE を行った。planned reoperationにて左肝管は基部で断裂し，前区域枝と後区域枝前壁が欠損した複雑肝門部胆管損傷を認めた。後区域枝後壁にB6，B7 の分岐孔が確認できるのみで，第8 病日にB6，B7 に非縫合性圧着式胆管空腸吻合を行う胆道再建を行った。 【結語】非縫合性圧着式胆道再建は再建困難な肝門部胆管損傷に対する一再建オプションとなり得ることが示唆された。 |
| Description Alternative | ［Introduction］We encountered a patient with severe liver trauma with complex extrahepatic biliary tract（hilar bile duct）injury, treated with non-suturing hepaticojejunostomy.
［Case report］A 51-year-old man who sustained a blunt hepatic trauma presented with hemorrhagic shock, and damage control surgery and transarterial embolization（TAE）were performed. During the planned reoperation, severe liver trauma with complex extrahepatic biliary tract was found: A transection at the base of the left hepatic bile duct and a defect of the anterior wall in the anterior and posterior segmental branch. Only the B6 and B7 orifices were visible in the posterior wall, and on day 8, reconstruction of the bile duct using non-suturing hepaticojejunostomy was performed. ［Conclusion］Non-suturing hepaticojejunostomy can be an option for difficult reconstruction of complex extrahepatic biliary tract（hilar bile duct）injuries. |
| Subject | 肝損傷
肝門部胆管損傷
経空腸的肝管ドレナージ
liver injury
hilar bile duct injury
non-suturing hepaticojejunostomy
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| Journal Title |
Japanese Journal of Acute Care Surgery
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| Volume | 6
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| Issue | 1
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| Start Page | 67
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| End Page | 71
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| Published Date | 2016
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| Publisher | 日本Acute Care surgery学会
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| Publisher Transcription | ニホン Acute Care surgery ガッカイ
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| NII Type |
Journal Article
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| Format |
PDF
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| Relation | |
| Text Version |
出版社版
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| Gyoseki ID | e31199
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| OAI-PMH Set |
Faculty of Medicine
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