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aberrant bile duct
相关语句
  迷走胆管
     Eleven cases of accessory hepatic duct injury, including one case of aberrant bile duct injury, 7 cases of tiny accessory hepatic duct injury and 3 cases of thick accessory hepatic duct injury.
     副肝管损伤11 例,其中迷走胆管损伤1例,细小副肝管损伤7例,较粗大的副肝管损伤3例。
短句来源
     Results 21 cases(95.9%) converted to open surgery among the 512 cases of LC. 1 case experienced bile leakage from aberrant bile duct and cured after conservative treatment.
     结果腹腔镜胆囊切除术(laparoscopiccholecystectomy,LC)成功率为95.9%(491/512),中转开腹率为4.1%(21/512),1例LC术后发生胆囊床迷走胆管漏,经保守治疗治愈。
短句来源
     Results Out of the 16 cases,residual bile duct stones were found in 9 cases,and bile duct injuries had taken place in 7 cases (2 cases of cystic duct stump leakage,3 cases of common bile/hepatic duct injuries and 2 cases of recurrent jaundice resulted from aberrant bile duct leakage).
     结果  16例中 9例胆石残留 ,7例胆管损伤 ,包括 2例胆囊管漏 ,3例胆 (肝 )总管损伤 ,2例迷走胆管漏后二次黄疸。
短句来源
     However,in 3 of the above 19 cases the result of IOC was misinterpreted and in 4 of the above 19 cases IOC was not performed. Two of the 7 patients had aberrant bile duct injuries, in all of them the diagnoses were delayed.
     19例中 3例IOC误读及 4例未行IOC患者中发生迷走胆管损伤 2例 ,胆总管完全离断 1例 ,胆总管完全离断合并胆道缺损 2例。
短句来源
     Eleven patients had subsidiary hepatic duct injury. They includ- ed 1 with aberrant bile duct injury. 7 with tiny subsidiary hepatic duct injury and 3 with thick subsid- iary hepatic duct injury.
     副肝管损伤11例,其中迷走胆管损伤1例,细小副肝管损伤7例,较粗大的副肝管损伤3例。
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  相似匹配句对
     Iaotrogenic bile duct injury
     医源性胆管损伤
短句来源
     ③infection of the bile duct;
     ③胆道感染;
短句来源
     ③aberrant methylation ;
     ③反常甲基化;
短句来源
     The Aberrant Study of Literature Stylistics
     文学文体学的变异研究
短句来源
     Diagnosis and treatment of aberrant thyroid cancer
     异位甲状腺癌的诊断和治疗
短句来源
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  aberrant bile duct
A 66-year-old Japanese woman whose cystic duct drained into an aberrant bile duct was found to have an intersegmental connection bridging the right anterior and posterior ducts.
      


The left triangular ligament of liver and its fibrous appendix(free border) was studied in 42 Chinese adult male cadavers. 37 fibrous appendices were further studied histologically.In order to prove the formation of the fibrous appendix 30 left triangular ligaments of new born cadavers were also studied. The average length of the left triangular ligament of adult cadavers was 13.91cm.,and that of their fibrous appendices was 6.86cm. Almost all of the left triangular ligaments were attached to the superior surface...

The left triangular ligament of liver and its fibrous appendix(free border) was studied in 42 Chinese adult male cadavers. 37 fibrous appendices were further studied histologically.In order to prove the formation of the fibrous appendix 30 left triangular ligaments of new born cadavers were also studied. The average length of the left triangular ligament of adult cadavers was 13.91cm.,and that of their fibrous appendices was 6.86cm. Almost all of the left triangular ligaments were attached to the superior surface of the left lobe of liver,consequ- ently, the left suprahepatic space could be properly subdivided into anterior and posterior left suprahepatic spaces by the ligament. The forms of the fibrous appendices were classified into 5 types:triangular (23.8%), narrow band(14.3%), triangular-narrow band(50.0%),membranous (7.1%), and bifurcate type(4.8%).The left triangular ligaments of the 30 new born cadavers were devoid of fibrous appendix. Histological observations of the 37 fibrous appendices showed:aberrant bile ducts were found in 89% of the cases, rudimentory liver-cell cord 65%,nerves 78%, and blood vessels 100%.Their size and number diminished gradually from the pro- Kimal (hepatic) end of the fibrous appendix to the distalend. The authors agreed with Toldt and Zuckandl that the fibrous appendix might be the result of the retrogression of the left lobe and suggested that the occurrence of the fibrous appendix was after birth. The clinical importance of the fibrous appen- dix was discussed.

本文对42例成年男性尸体的肝左三角韧带及其游离缘,进行了观察测量,并对共中37例的游离缘作了组织学观察;此外,还对30例新生儿的肝左三角韧带,做了对照观察。42例成人肝左三角韧带的平均长度为13.91cm,其游离缘的平均长度为6.86cm;肝左三角韧带全长位于肝左叶上面者占97.5%,将左肝上间隙分为前、后两个间隙。42例成人的肝左三角韧带均有游离缘,其形态可分为5种类型;30例新生儿的肝左三角韧带均无游离缘。对37例成人肝左三角韧带游离缘的组织学观察,发现其内有残余肝细胞索者达65%,有胆管者达89%,有血管者达100%,有神经者达78%;残余肝细胞索、神经和胆管的出现,都由近侧向远侧逐渐减少。肝左三角韧带游离缘可能是生后肝左叶退缩遗留下来的结构。

ObjectiveTo assess the value of intraoperative cholangiography(IOC) for detecting bile duct injury during laparoscopic cholecystectomy.Methods31 cases of bile duct injuries were reviewed regarding the site of injury,mechanism,time of diagnosis,and the place of IOC was evaluated.ResultsBile duct injuries resulted from misidentification in 19 cases.In 12 of these 19 cases,the diagnosis was made by IOC.Primary laparoscopic repair or open repair and T-tube drainage solved the problem without postoperative complications.However,in...

ObjectiveTo assess the value of intraoperative cholangiography(IOC) for detecting bile duct injury during laparoscopic cholecystectomy.Methods31 cases of bile duct injuries were reviewed regarding the site of injury,mechanism,time of diagnosis,and the place of IOC was evaluated.ResultsBile duct injuries resulted from misidentification in 19 cases.In 12 of these 19 cases,the diagnosis was made by IOC.Primary laparoscopic repair or open repair and T-tube drainage solved the problem without postoperative complications.However,in 3 of the above 19 cases the result of IOC was misinterpreted and in 4 of the above 19 cases IOC was not performed.Two of the 7 patients had aberrant bile duct injuries, in all of them the diagnoses were delayed.There were two cases in which bile duct injury developed after an IOC.ConclusionsCorrect interpretation of IOC enables detecting bile duct injury caused by intraoperatively misidentification and consequent morbidity.

目的评估术中胆道造影 (IOC)在早期发现腹腔镜胆囊切除术 (LC)术中胆道损伤的作用。方法回顾分析 31例LC术后胆道损伤的部位、机理、诊断时间、治疗方法及结果 ,并对是否行IOC进行评估。结果胆道错认引起胆道损伤共 19例 ,其中 12例IOC显示胆道错认 ,致胆道部分切开损伤 ,腹腔镜下行Ⅰ期修复或开腹修复、T管引流 ,但无并发症 ;19例中 3例IOC误读及 4例未行IOC患者中发生迷走胆管损伤 2例 ,胆总管完全离断 1例 ,胆总管完全离断合并胆道缺损 2例。本组有 2例损伤发生于IOC后。结论行IOC并正确阅读可及时发现腹腔镜胆囊切除术中胆道错认所致的胆道损伤 ,从而防止随之可能发生的严重并发症

Objective To discuss the causes,treatment and prophylaxis of surgical jaundice after laparoscopic cholecystectomy (LC). Methods A retrospective analysis was carried out in 16 cases of surgical jaundice consisting of 14 cases from this hospital out of 3 092 cases of LC from January 1994 to January 2002 and 2 cases transferred from other hospitals. Results Out of the 16 cases,residual bile duct stones were found in 9 cases,and bile duct injuries had taken place in 7 cases (2 cases of cystic duct stump leakage,3...

Objective To discuss the causes,treatment and prophylaxis of surgical jaundice after laparoscopic cholecystectomy (LC). Methods A retrospective analysis was carried out in 16 cases of surgical jaundice consisting of 14 cases from this hospital out of 3 092 cases of LC from January 1994 to January 2002 and 2 cases transferred from other hospitals. Results Out of the 16 cases,residual bile duct stones were found in 9 cases,and bile duct injuries had taken place in 7 cases (2 cases of cystic duct stump leakage,3 cases of common bile/hepatic duct injuries and 2 cases of recurrent jaundice resulted from aberrant bile duct leakage).All the 16 cases were cured by surgery and no bile duct stricture occurred after surgical procedures. Conclusions Strict following indications of LC and normative surgical performance are the keys to the decrease of surgical jaundice after LC.The patient should be given active surgical intervention once surgical jaundice occurs.

目的 探讨腹腔镜胆囊切除术 (laparoscopiccholecystectomy ,LC)后外科黄疸的原因、治疗及预防措施。 方法对我院 1994年 1月~ 2 0 0 2年 1月 30 92例LC中 14例外科黄疸及外院转入 2例共 16例进行回顾性分析。 结果  16例中 9例胆石残留 ,7例胆管损伤 ,包括 2例胆囊管漏 ,3例胆 (肝 )总管损伤 ,2例迷走胆管漏后二次黄疸。 16例均经手术治愈 ,无胆道狭窄发生。 结论 减少LC术后外科黄疸的关键在于掌握好LC的手术适应证 ,规范手术操作 ,发生外科黄疸应积极手术治疗

 
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