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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
Title Alternative (English)
Non-suturing hepaticojejunostomy for severe liver trauma with complex extrahepatic biliary tract(hilar bile duct) injury: A case report
Attribute
症例報告
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
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
Journal Title
Japanese Journal of Acute Care Surgery
Volume
6
Issue
1
Start Page
67
End Page
71
Published Date
2016
Publisher
日本Acute Care surgery学会
Publisher Transcription
ニホン Acute Care surgery ガッカイ
NII Type
Journal Article
Format
PDF
Relation
Text Version
出版社版
Gyoseki ID
e31199
OAI-PMH Set
Faculty of Medicine